Active NPI
Bryan K Crain, CPHT
- Pharmacy Technician
- Westminster, SC
National Provider Identifier
1801936158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 10689
- Practice address
- 132 E Main St
Westminster, SC 29693-1753 - Phone
- (864) 647-5941
- Fax
- (864) 647-2906
- NPI assigned
- Feb 7, 2007
- Last updated
- Mar 12, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 10689 | SC | Primary |
Addresses
Primary practice location
132 E Main St
Westminster, SC 29693-1753
Mailing address
629 Henderson Falls Rd
Toccoa, GA 30577-1635
Phone (864) 280-6478
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10689 | Other | SC | PHARMACY TECH REGISTRATIO |
| 290101040758996 | Other | SC | PHARM TECH CERTIFICATION |
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 |
|---|---|---|---|
| 10689 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moon's Drug Store, Inc. | Current | Accepting new patients | |
| Moon's Drug Store, Inc. | Current | Accepting new patients |
Locations
132 E Main St
Westminster, SC 29693
Phone (864) 647-5941
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.
-
- Durable Medical Equipment & Medical Supplies
- Westminster, SC
- NPI 1043236524
-
- Community/Retail Pharmacy
- Westminster, SC
- NPI 1366597270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1801936158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 HENDERSON FALLS RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305771635",
"telephone_number": "864-280-6478",
"fax_number": "864-647-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E MAIN ST",
"city": "WESTMINSTER",
"state": "SC",
"postal_code": "296931753",
"telephone_number": "864-647-5941",
"fax_number": "864-647-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "BRYAN",
"middle_name": "K",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "SC",
"license": "10689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY TECH REGISTRATIO",
"identifier": "10689",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARM TECH CERTIFICATION",
"identifier": "290101040758996",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, SC
- Cherokee Creek Boys School
- Cooperative Counseling Services
- Elizabeth Coppola, OPTICIAN
- Paul K Coppola, OD
- Lara Teresa Coste, PHARMBS
- Amanda Christi Cronlund, RN, MSN
- Diane Koglin (Advanced Hearing Solutions)
- Dr. F. Benny Erwin (Foothills Dental Associates)
- East End Dental Clinic, PC
- Kalyn Brice Edwards, M. ED CFY- SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.