Annette Crispin, RPH

Individual provider Active NPI Pharmacist · Newark, DE

NPI 1689951998 · NPPES record last updated Nov 15, 2011

Key facts

NPI
1689951998
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
A1 000 2949 (DE)
Practice address
2719 Pulaski Hwy
Newark, DE 19702-3960
Phone
(302) 453-4800
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
A1 000 2949DEMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Happy Harrys Inc Past
since Mar 20, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1 000 2949 DE Yes

Addresses

Primary practice location

2719 Pulaski Hwy
Newark, DE 19702-3960

Mailing address

28 Riva Ridge LN
Bear, DE 19701-3358

Other providers in Newark, DE

All providers in Newark, DE · Pharmacist in Delaware

Sources for this page

Verify at the official NPI Registry.