Christine Crea, PHARMD
Individual provider Active NPI Pharmacist · Walden, NY
NPI 1780159020 · NPPES record last updated Oct 12, 2018
Key facts
- NPI
- 1780159020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 064422 (NY)
- Practice address
- 38 Grant St
Walden, NY 12586-1850 - Phone
- (845) 778-6661
- NPI assigned
- Oct 12, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064422 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 064422 | NY | Yes |
Addresses
Primary practice location
38 Grant St
Walden, NY 12586-1850
Mailing address
3 Bunker Hill Rd
Newburgh, NY 12550-8726
Other providers in Walden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.