Active NPI
Craig B Dale, PHARMD
- Pharmacist
- Taos, NM
National Provider Identifier
1831517655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00008135
- Practice address
- 811 Paseo del Pueblo Sur
Taos, NM 87571-6395 - Phone
- (575) 758-1704
- NPI assigned
- Mar 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00008135 | NM | Primary |
| Pharmacist | 183500000X | RPH-0013940 | OR |
Addresses
Primary practice location
811 Paseo del Pueblo Sur
Taos, NM 87571-6395
Mailing address
PO Box 3439
Taos, NM 87571-3439
Phone (503) 449-5707
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00008135 | NM | MD | Pharmacist |
| RPH-0013940 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486857600000",
"number": "1831517655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3439",
"city": "TAOS",
"state": "NM",
"postal_code": "875713439",
"telephone_number": "503-449-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 PASEO DEL PUEBLO SUR",
"city": "TAOS",
"state": "NM",
"postal_code": "875716395",
"telephone_number": "575-758-1704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "CRAIG",
"middle_name": "B",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-29",
"last_updated": "2017-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00008135",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013940",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.