Individual provider Active NPI

Angela Marie Creamer

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Memphis, TN
National Provider Identifier
1821334525
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
35778 Issued in TN
Practice address
1620 Century Center Parkway #109
Memphis, TN 38134
Phone
(901) 371-7400
NPI assigned
Dec 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35778 TN
Pharmacist 183500000X E-11835 MS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-11835 MS
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 35778 TN Primary

Addresses

Primary practice location

1620 Century Center Parkway #109
Memphis, TN 38134

Mailing address

1620 Century Center Parkway #109
Memphis, TN 38134
Phone (901) 371-7400

Other practice location 1

2835 Kirby Rd
Memphis, TN 38119-8209
Phone (901) 353-1387

Other practice location 2

43 N Cleveland St
Memphis, TN 38104-2301
Phone (901) 333-8243

Other names 1

  • Angela Marie Inman Former name

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
E-11835MSMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
35778TNMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I PastSince Jul 1, 2020 Accepting new patients
Kroger Limited Partnership I PastSince Mar 22, 2020 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1821334525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 CENTURY CENTER PARKWAY #109",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-371-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 CENTURY CENTER PARKWAY #109",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38134",
            "telephone_number": "901-371-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Kirby Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198209",
            "country_code": "US",
            "telephone_number": "901-353-1387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "43 N Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381042301",
            "country_code": "US",
            "telephone_number": "901-333-8243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREAMER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-27",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "35778",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-11835",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "E-11835",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "35778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "INMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.