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
- Last updated
- Feb 22, 2013
- 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, 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": "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.