MARK CRUMBY (NPI# 1366851917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366851917 |
| Entity Type | Individual |
| Full Name | MARK CRUMBY |
| Credential | PHARM.D. |
| Practice Address |
580 W 5th St Reno NV 89503-4407 |
| Practice Telephone | 7753481306 |
| Mailing Telephone | 7753481306 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
17499 | NV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100500016 | 05 | |
| NV | NCPDP | 2906848 | 01 |
| Street Address |
580 W 5TH ST |
| City | RENO |
| State | NV |
| Zip Code | 89503-4407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709976 | Northern Nevada Hiv Outpatient Program, Education & Services | Specialist | 580 W 5th St, Reno, NV 89503-4407 | 2005-06-08 |
| 1134755283 | Kylie Grace Soares | Nurse Practitioner | 580 W 5th St, Reno, NV 89503-4407 | 2020-03-20 |
| 1184257628 | Jessica Ann Bowden | Nurse Practitioner | 580 W 5th St, Reno, NV 89503-4407 | 2020-02-12 |
| 1992336499 | Jerika Dunn | Nurse Practitioner | 580 W 5th St, Reno, NV 89503-4407 | 2020-02-03 |
| 1710440136 | Sadie Davenport | Physician Assistant | 580 W 5th St, Reno, NV 89503-4407 | 2019-04-11 |
| 1497221808 | Jessica Sheila Blauenstein | Dietitian, Registered | 580 W 5th St, Reno, NV 89503-4407 | 2018-10-23 |
| 1427532506 | Amanda N La Torre | Health Educator | 580 W 5th St, Reno, NV 89503-4407 | 2018-09-24 |
| 1831633411 | Nanette Mccall | Dietitian, Registered | 580 W 5th St, Reno, NV 89503-4407 | 2016-12-15 |
| 1477004331 | Northern Nevada Hiv Outpatient Program, Education & Services | Clinic/Center | 580 W 5th St, Reno, NV 89503-4407 | 2016-10-17 |
| 1427504661 | Shile Brook Eguen | Registered Nurse | 580 W 5th St, Reno, NV 89503-4407 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629483961 | Ghayda Alrass | Pharmacist | 404 Luciana Dr, Reno, NV 89521-4288 | 2014-06-25 |
| 1962715979 | Kimberly Jacques | Pharmacist | 975 Kirman Ave # 119, Reno, NV 89502-0993 | 2010-07-19 |
| 1417285636 | Carrie Ann Nolan | Pharmacist | 495 Morrill Ave, Unit 9, Reno, NV 89512-3579 | 2009-11-28 |
| 1619126141 | Nikki Marie Beck | Pharmacist | 9495 Oakley Ln, Reno, NV 89521-6102 | 2008-09-09 |
| 1356361323 | Lisa Lee Bryan | Pharmacist | 1000 Locust St # 119, Reno, NV 89502-2597 | 2006-07-20 |
| 1013903053 | Arthur L Allen | Pharmacist | 1000 Locust St, Pharmacy 119, Reno, NV 89502-2597 | 2005-09-26 |
| 1124643754 | Justin Muklewicz | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-06-09 |
| 1780208397 | Elyssa Karyl Jamora Valencerina | Pharmacist | 975 Kirman Ave # 119, Reno, NV 89502-0997 | 2020-05-31 |
| 1407479074 | Craig Ratliff | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-05-18 |
| 1588297105 | Robert Khoury | Pharmacist | 975 Kirman Ave, Reno, NV 89502-0993 | 2020-02-21 |
| Find all providers in RENO | ||||
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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.