Active NPI
Jordan M. Cresswell, PHARM.D.
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1932443785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012033704
- Practice address
- 9801 Manchester Rd
Saint Louis, MO 63119-1227 - Phone
- (314) 963-3256
- Fax
- (314) 963-0184
- NPI assigned
- Nov 18, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 2012033704 | MO | Primary |
Addresses
Primary practice location
9801 Manchester Rd
Saint Louis, MO 63119-1227
Mailing address
9801 Manchester Rd
Saint Louis, MO 63119-1227
Phone (314) 963-3256
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 |
|---|---|---|---|
| 2012033704 | MO | 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": "1353196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353196800000",
"number": "1932443785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191227",
"telephone_number": "314-963-3256",
"fax_number": "314-963-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631191227",
"telephone_number": "314-963-3256",
"fax_number": "314-963-0184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESSWELL",
"first_name": "JORDAN",
"middle_name": "M.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-18",
"last_updated": "2012-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012033704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- Zachary Crenshaw, DO
- Louis F Crepps, M.D.
- Crescendo Consulting LLC (Crescendo Hearing)
- Crescent Medical Services LLC
- Sharon Cresci, MD
- Crestwood Back and Neck Pain Clinic
- Crestwood Consultants, Inc. (Yvonne I. DeHart)
- Crestwood Dental Group Maxwell DMD PC (Crestwood Dental Group)
- Allison Marie Creswell, PA-C
- Creve Coeur Manor Health Care Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.