Active NPI
Craig R Whitaker, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1790339018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64975
- Practice address
- 3822 Old Spanish TRL
Houston, TX 77021-1340 - Phone
- (713) 741-7323
- Fax
- (713) 741-3166
- NPI assigned
- Jul 25, 2019
- Last updated
- Jul 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 64975 | TX | Primary |
Addresses
Primary practice location
3822 Old Spanish TRL
Houston, TX 77021-1340
Mailing address
2400 Business Center Dr Apt 1028
Pearland, TX 77584-2498
Phone (832) 335-1353
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64975 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1790339018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BUSINESS CENTER DR APT 1028",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842498",
"telephone_number": "832-335-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3822 OLD SPANISH TRL",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770211340",
"telephone_number": "713-741-7323",
"fax_number": "713-741-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "CRAIG",
"middle_name": "R",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.