Individual provider Active NPI

Craig Andrew Cauley, CPHT

  • Pharmacy Technician
  • Niagara Falls, NY
National Provider Identifier
1740854900
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10062659 Issued in NY
Practice address
Pine Pharmacy
1806 Pine Ave
Niagara Falls, NY 14301
Phone
(716) 285-0340
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 10062659 NY Primary

Addresses

Primary practice location

Pine Pharmacy
1806 Pine Ave
Niagara Falls, NY 14301

Mailing address

2258 Grand Ave Apt 3
Niagara Falls, NY 14301-2431
Phone (716) 804-1073

Other practice location 1

1609 22nd St
Niagara Falls, NY 14305-3037
Phone (716) 298-7156

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

State licenses

LicenseStateTypeSpecialty
10062659NYMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1740854900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 GRAND AVE APT 3",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012431",
            "telephone_number": "716-804-1073",
            "fax_number": "716-751-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PINE PHARMACY",
            "address_2": "1806 PINE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-285-0340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 22nd St",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143053037",
            "country_code": "US",
            "telephone_number": "716-298-7156",
            "fax_number": "716-751-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAULEY",
        "first_name": "CRAIG",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "10062659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; 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.