JOHN T CRUTCHFIELD (NPI# 1740365519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740365519 |
| Entity Type | Individual |
| Full Name | JOHN T CRUTCHFIELD |
| Credential | PS6364 |
| Practice Address |
5341 Brown Street Graceville FL 32440 |
| Mailing Address |
Po Box 216 Graceville FL 32440 |
| Practice Telephone | 8502633257 |
| Practice Fax Number | 8502633220 |
| Mailing Telephone | 8502633257 |
| Mailing Fax Number | 8502633220 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH9236 | FL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 1039153 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770564320 | John Stuart Crutchfield | Neurological Surgery | 722 Clinic Dr, Tyler, TX 75701-2001 | 2005-11-10 |
| 1902268956 | John R Crutchfield | Orthotist | 2301 N Church St, Greensboro, NC 27405-4309 | 2016-03-28 |
| Street Address |
5341 BROWN STREET |
| City | GRACEVILLE |
| State | FL |
| Zip Code | 32440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417148396 | Service Drug Store Inc | Pharmacy | 5341 Brown St., Graceville, FL 32440 | 2007-08-06 |
| 1669543310 | Terry Emmitt Nichols | Dentist | 966 7th Ave, Graceville, FL 32440 | 2006-11-13 |
| 1760575104 | Cook Discount Drugs Inc | Pharmacy | 5324 Brown St, Graceville, FL 32440 | 2006-09-30 |
| 1083688311 | Lucinda Weeks Collins | Nurse Practitioner | 5239 Brown St, Graceville, FL 32440 | 2006-02-14 |
| 1043562408 | Karen Clark Ramsey | Nutritionist | 5429 College Drive, Graceville, FL 32440 | 2012-10-10 |
| 1194173419 | Holmes County Hospital Corporation | Clinic/Center | 5556 Brown St, Graceville, FL 32440-1007 | 2016-05-26 |
| 1154847580 | Davis Family Medicine LLC | Family Medicine | 5556 Brown St, Graceville, FL 32440-1007 | 2017-08-17 |
| 1629192919 | Rudd Family Health Care Inc | Clinic/Center | 5517 College Dr, Graceville, FL 32440-1307 | 2007-03-19 |
| 1609072644 | Jackson County Senior Citizens, Inc. | Case Management | 5400 Cliff St, Graceville, FL 32440-1732 | 2007-06-26 |
| 1578587317 | Southern Home Respiratory of Fl | Durable Medical Equipment & Medical Supplies | 5426 Clifff St, Graceville, FL 32440-1734 | 2006-07-26 |
| Find all providers in zip 32440 | ||||
| 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 |
|---|---|---|---|---|
| 1215553904 | Monica Rethke | Pharmacist | 318 Studdart Ave, Graceville, MN 56240-7735 | 2020-06-18 |
| 1568676302 | Brian Thomas Taylor | Pharmacist | 5324 Brown St, Graceville, FL 32440-2238 | 2007-05-10 |
| 1972717726 | Donald Kerry Taylor | Pharmacist | 5324 Brown St, Graceville, FL 32440-2238 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | GRACEVILLE |
| Zip Code | 32440 |
Please comment or provide details below to improve the information on JOHN T CRUTCHFIELD.
| 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.