Fiore Cremard III, PHARM.D.
Individual provider Active NPI Pharmacist · Old Forge, PA
NPI 1821419136 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1821419136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP045607L (PA)
- Practice address
- 210 E Morton St
Old Forge, PA 18518-1941 - Phone
- (570) 457-5517
- NPI assigned
- Jan 5, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP045607L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP045607L | PA | Yes |
Addresses
Primary practice location
210 E Morton St
Old Forge, PA 18518-1941
Mailing address
210 E Morton St
Old Forge, PA 18518-1941
Phone (570) 457-5517
Other providers in Old Forge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.