Individual provider Active NPI

Caroline Cranwell-Calleros, RPH

  • Pharmacist
  • Menlo Park, CA
National Provider Identifier
1952772063
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70435 Issued in CA
Practice address
871 Santa Cruz Ave
Menlo Park, CA 94025-4629
Phone
(650) 618-6310
Fax
(650) 618-6311
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70435 CA Primary

Addresses

Primary practice location

871 Santa Cruz Ave
Menlo Park, CA 94025-4629

Mailing address

1374 Cuernavaca Circulo
Mountain View, CA 94040-3571
Phone (650) 641-0111

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
70435CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmaca Integrative Pharmacy, Inc. Past Accepting new patients
Pharmaca Integrative Pharmacy, 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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1952772063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 CUERNAVACA CIRCULO",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403571",
            "telephone_number": "650-641-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254629",
            "telephone_number": "650-618-6310",
            "fax_number": "650-618-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANWELL-CALLEROS",
        "first_name": "CAROLINE",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.