Active NPI
Kathleen Louise Craig
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1821411083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S012633
- Practice address
- 1525 W Bell Rd
Phoenix, AZ 85023-3411 - Phone
- (602) 439-9867
- Fax
- (602) 439-9869
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- 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 | S012633 | AZ | Primary |
Addresses
Primary practice location
1525 W Bell Rd
Phoenix, AZ 85023-3411
Mailing address
1525 W Bell Rd
Phoenix, AZ 85023-3411
Phone (602) 439-9867
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 |
|---|---|---|---|
| S012633 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams West Inc | Past | Accepting new patients | |
| Sam's West, Inc. | Past | 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": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1821411083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850233411",
"telephone_number": "602-439-9867",
"fax_number": "602-439-9869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850233411",
"telephone_number": "602-439-9867",
"fax_number": "602-439-9869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "KATHLEEN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S012633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.