Active NPI
Angel M Crabtree, PHARMD
- Pharmacist
- Johnson City, TN
National Provider Identifier
1962723155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27073
- Practice address
- 1430 S Roan St
Johnson City, TN 37601-7332 - Phone
- (423) 926-4861
- NPI assigned
- Jun 22, 2010
- Last updated
- Jun 22, 2010
- Sex
- Female
- 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 | 27073 | TN | Primary |
| Pharmacist | 183500000X | 0202207536 | VA |
Addresses
Primary practice location
1430 S Roan St
Johnson City, TN 37601-7332
Mailing address
275 Chesterfield Dr
Kingsport, TN 37663-2977
Phone (276) 870-6177
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 |
|---|---|---|---|
| 0202207536 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1962723155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 CHESTERFIELD DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632977",
"telephone_number": "276-870-6177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 S ROAN ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376017332",
"telephone_number": "423-926-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "ANGEL",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "27073",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202207536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.