Active NPI
George Matthew Craig
- Pharmacist
- Bethany, MO
National Provider Identifier
1770191561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020017009
- Practice address
- 810 S 37TH St
Bethany, MO 64424-2770 - Phone
- (660) 425-4430
- NPI assigned
- Jul 17, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2020017009 | MO | Primary |
Addresses
Primary practice location
810 S 37TH St
Bethany, MO 64424-2770
Mailing address
810 S 37TH St
Bethany, MO 64424-2770
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmcraig.s00834@us.walmart.com | Direct | Walmart Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2020017009 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Bethany, MO
- NPI 1508883851
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1770191561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 S 37TH ST",
"city": "BETHANY",
"state": "MO",
"postal_code": "644242770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S 37TH ST",
"city": "BETHANY",
"state": "MO",
"postal_code": "644242770",
"telephone_number": "660-425-4430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "GEORGE",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-17",
"last_updated": "2023-11-27",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020017009",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmcraig.s00834@us.walmart.com",
"affiliation": "Y",
"endpointDescription": "Work email",
"affiliationName": "Walmart Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "810 S 37th St",
"city": "Bethany",
"state": "MO",
"country_code": "US",
"postal_code": "644242770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bethany, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.