JACOB M CRAWFORD (NPI# 1093315624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093315624 |
| Entity Type | Individual |
| Full Name | JACOB M CRAWFORD |
| Credential | PHARMD |
| Practice Address |
2304 E Lincolnway Cheyenne WY 82001-5416 |
| Mailing Address |
4606 E 12th St Unit 4 Cheyenne WY 82001-6785 |
| Practice Telephone | 3076350241 |
| Mailing Telephone | 4407590116 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4272 | WY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Dell Range Blvd, Cheyenne, WY 820094853 | 3076355854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748983 | Jacob L Crawford | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-04-03 |
| 1558831420 | Jacob P Crawford | Physician Assistant | 508 S Church St, Mt Pleasant, PA 15666-1702 | 2018-12-04 |
| 1962987586 | Jacob Victor Crawford | Nurse Practitioner | 307 Chisum St, Sicily Island, LA 71368-4807 | 2018-09-28 |
| 1265912737 | Jacob Donovan Crawford | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-08-15 |
| 1346764701 | Jacob Steven Crawford | Physical Therapist | 1673 W Shoreline Dr Ste 230, Boise, ID 83702-6752 | 2017-07-27 |
| 1851790869 | Jacob Crawford | Physical Therapist | 159 W 1st St, Oswego, NY 13126-2045 | 2014-08-14 |
| Street Address |
2304 E LINCOLNWAY |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861407942 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2006-07-29 |
| 1386273522 | Thomas Heidelk | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2020-04-08 |
| 1992343750 | Brunson Townsend | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2019-12-11 |
| 1558873455 | Michael W Bigelow | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2017-11-01 |
| 1750806451 | Becky Boschee | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2017-08-03 |
| 1053851402 | David Masters | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2017-03-05 |
| 1942671763 | Walgreens | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2015-10-20 |
| 1740545805 | Jodi Marie Johnson | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2012-07-05 |
| 1144509639 | Adam Negm Casey | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2011-08-15 |
| 1588997399 | Selena Marie Nelson | Pharmacist | 2304 E Lincolnway, Cheyenne, WY 82001-5416 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316598360 | Tana Arbury | Pharmacist | 2301 E Lincolnway, Cheyenne, WY 82001-5487 | 2019-09-20 |
| 1003306374 | Wenyang Mao Donehue | Pharmacist | 6919 Prairie Hills Dr, Cheyenne, WY 82009-2696 | 2018-05-13 |
| 1689183659 | Sarah Ann Gilliard | Pharmacist | 2300 Capital Avenue, Suite B27, Cheyenne, WY 82002 | 2017-09-21 |
| 1588183750 | Keith Robert Bennett | Pharmacist | 5353 Yellowstone Rd Rm 211, Cheyenne, WY 82009-4178 | 2017-09-19 |
| 1558719302 | Beryen Lai | Pharmacist | 5353 Yellowstone Rd Ste 211, Cheyenne, WY 82009-4178 | 2016-06-01 |
| 1730588641 | Cody Phillips | Pharmacist | 489 Road 138, Cheyenne, WY 82007-9658 | 2014-08-15 |
| 1194149849 | Gilbert & Reher LLC | Pharmacist | 1506 Thomes Ave, Suite E, Cheyenne, WY 82001-4365 | 2014-02-14 |
| 1093140824 | Cynthia Cooper | Pharmacist | 2317 Alexander Ave, Cheyenne, WY 82001-3205 | 2013-09-11 |
| 1851724090 | Matthew Ray Martineau | Pharmacist | 2302 E. Lincolnway, Cheyenne, WY 82001 | 2013-08-12 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| Find all providers in CHEYENNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.