Individual provider Active NPI

William Dell Craynor, R. PH.

  • Pharmacist
  • Salt Lake City, UT
National Provider Identifier
1689654329
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
140651-1701 Issued in UT
Practice address
1040 N 2200 W
Salt Lake City, UT 84116-2905
Phone
(801) 595-4375
Fax
(801) 595-2075
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 140651-1701 UT Primary

Addresses

Primary practice location

1040 N 2200 W
Salt Lake City, UT 84116-2905

Mailing address

134 Cottonwood Dr
Ogden, UT 84414-1180
Phone (801) 595-4375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
140651-1701UTMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1689654329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 COTTONWOOD DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844141180",
            "telephone_number": "801-595-4375",
            "fax_number": "801-595-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N 2200 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841162905",
            "telephone_number": "801-595-4375",
            "fax_number": "801-595-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYNOR",
        "first_name": "WILLIAM",
        "middle_name": "DELL",
        "name_prefix": "Mr.",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "140651-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.