Individual provider Active NPI

Bryan K Crain, CPHT

  • Pharmacy Technician
  • Westminster, SC
National Provider Identifier
1801936158
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
10689 Issued in SC
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10689OtherSCPHARMACY TECH REGISTRATIO
290101040758996OtherSCPHARM 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

LicenseStateTypeSpecialty
10689SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.