Active NPI
Clint Creager, PHARMD, RPH
- Pharmacist
- Lima, OH
National Provider Identifier
1801150248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03131878-1
- Practice address
- 1415 Bellefontaine Ave
Lima, OH 45804-3168 - Phone
- (419) 228-2296
- NPI assigned
- Jun 29, 2012
- 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 | 03131878-1 | OH | Primary |
Addresses
Primary practice location
1415 Bellefontaine Ave
Lima, OH 45804-3168
Mailing address
1415 Bellefontaine Ave
Lima, OH 45804
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03131878-1 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane Drug Co | Past | Accepting new patients |
Organizations & group practices 1
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
- Findlay, OH
- NPI 1184630493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1801150248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "45804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458043168",
"telephone_number": "419-228-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREAGER",
"first_name": "CLINT",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03131878-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.