DR. BRIAN THOMAS CRYDER


Address: 9831 S Western Ave, Chicago, IL 60643-1791
Phone: 7738815632

DR. BRIAN THOMAS CRYDER (NPI# 1679514558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679514558
Entity Type Individual
Full Name DR. BRIAN THOMAS CRYDER
Credential PHARM.D.
Practice Address 9831 S Western Ave
Chicago
IL 60643-1791
Mailing Address 14511 Central Ct
Unit Ph4
Oak Forest
IL 60452-1065
Practice Telephone 7738815632
Mailing Telephone 7084892761
Enumeration Date 2006-06-09
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
03-2-25261 OH Pharmacy Service Providers
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
IL Pharmacy Service Providers

Office Location

Street Address 9831 S WESTERN AVE
City CHICAGO
State IL
Zip Code 60643-1791

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689667479 Lucius C Earles Dermatology 9831 S Western Ave, Chicago, IL 60643-1740 2005-08-26
1598234999 Colleen Marie Tumino Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1144799446 Robert Joseph Stachler Massage Therapist 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1164991568 Karen Lynn Duggan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1881163285 Megan Corr Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2018-11-15
1952895971 Vaishali Shah Pharmacist 9831 S Western Ave, Chicago, IL 60643-1740 2018-06-22
1174045462 Kinsey Nolan Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2017-07-09
1467981571 Karmen Maytum Nurse Practitioner 9831 S Western Ave, Chicago, IL 60643-1740 2017-06-12
1386178226 Kristy Hynes Nurse Practitioner 9831 S Western Ave, Chicago, IL 60643-1740 2017-04-18
1154878510 Ewa Rafacz Registered Nurse 9831 S Western Ave, Chicago, IL 60643-1740 2016-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavioral Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386263234 Pooja Ramnani Pharmacist 5841 S Maryland Ace, Chicago, IL 60637 2020-04-10
1114382314 Archariya Puangampai Pharmacist 4178 S Emerald Ave, Chicago, IL 60609-2645 2015-12-15
1578822987 Melissa Badowski Pharmacist 1940 W Taylor St, Room 312, Chicago, IL 60612-7351 2012-05-07
1578848321 Oneil Joseph Betrrand Pharmacist 10107 S Calumet Ave, Chicago, IL 60628-2101 2011-10-12
1760791602 Kavita Naik Pharmacist 4020 N Damen Ave Unit 506, Chicago, IL 60618-3082 2010-09-27
1225191497 Julie Golembiewski Pharmacist 1740 W. Taylor Street, Suite 3200, Mc 515, Chicago, IL 60612-7239 2006-12-19
1366521973 Thuy Thi Pham Pharmacist 833 South Wood Street, Room 164, Department of Pharmacy Practice (mc 886), Chicago, IL 60612-7230 2006-11-03
1962588509 Charles E Mcpherson IIi Pharmacist 833 S. Wood St., Rm 164 M/c 886, Chicago, IL 60612 2006-10-27
1275636573 Sheila M Allen Pharmacist 2545 S. Martin Luther King Dr, Specialty 7, Chicago, IL 60616 2006-09-06
1669575924 Tania Geroge John Pharmacist 820 South Damen Ave (m/c 119), Chicago, IL 60612 2006-09-05
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

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.

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