Organization Active NPI

Crane Pharmacy LLC

Doing business as Crane Pharmacy

  • Pharmacy
  • Crane, TX
National Provider Identifier
1831250885
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
30197 Issued in TX
Legal business name
CRANE PHARMACY LLC
Doing business as
Crane Pharmacy
Practice address
515 S Alford St
Crane, TX 79731-2517
Phone
(432) 558-2411
Fax
(432) 558-3908
NPI assigned
Dec 13, 2006
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Aaron Gibson
Title
Manager
Phone
(432) 558-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 30197 TX Primary

Addresses

Primary practice location

515 S Alford St
Crane, TX 79731-2517

Mailing address

515 S Alford St
Crane, TX 79731-2517
Phone (432) 558-2411

Other identifiers 1

IdentifierTypeStateIssuer
2153407OtherPK

Other names 1

  • Crane Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915000628 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5799288734 Practice locations: Crane, TX

National Provider Directory

National Provider Directory
Tax ID family
Crane Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

813 Hospital Dr
Andrews, TX 79714
Phone (432) 523-4861

515 S Alford St
Crane, TX 79731
Phone (432) 558-2411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1831250885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S ALFORD ST",
            "city": "CRANE",
            "state": "TX",
            "postal_code": "797312517",
            "telephone_number": "432-558-2411",
            "fax_number": "432-558-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S ALFORD ST",
            "city": "CRANE",
            "state": "TX",
            "postal_code": "797312517",
            "telephone_number": "432-558-2411",
            "fax_number": "432-558-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-558-2411"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "30197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crane, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.