CRYSTAL GRIMES (NPI# 1790865574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790865574 |
| Entity Type | Individual |
| Full Name | CRYSTAL GRIMES |
| Practice Address |
1750 N Main St Logan UT 84341-1922 |
| Practice Telephone | 4357529641 |
| Mailing Telephone | 4357529641 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2010-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 132625-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780641233 | Crystal L Grimes | Physician Assistant | 7348 W 21st St N Ste 121, Wichita, KS 67205-1765 | 2006-04-27 |
| 1699135657 | Crystal Grimes | Nurse Practitioner | 280 Beach St, Revere, MA 02151-3143 | 2016-03-03 |
| Street Address |
1750 N MAIN ST |
| City | LOGAN |
| State | UT |
| Zip Code | 84341-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982635983 | K Mart Corp | Pharmacy | 1750 N Main St, Logan, UT 84341-1922 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| 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 |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1619234267 | Matthew Kitchen | Pharmacist | 369 George Kostas Dr, Suite 1, Logan, WV 25601-3493 | 2012-04-20 |
| 1346549110 | Nicholas Ball II | Pharmacist | 28 Main Ave, Logan, WV 25601-3331 | 2011-03-19 |
| 1588876163 | Paul Parkinson Klomp | Pharmacist | 3844 S 250 E, Logan, UT 84321-7626 | 2007-05-04 |
| 1891916391 | Kyle D Miskin | Pharmacist | 500 East 1400 North, Logan, UT 84341 | 2007-05-01 |
| 1750502233 | Dal Curtis Coleman | Pharmacist | Logan Regional Hospital, 1400 North 500 East, Logan, UT 84341 | 2007-05-01 |
| 1427106608 | Michael L. Hale | Pharmacist | 555 E 1400 N, Logan, UT 84341-2453 | 2007-01-06 |
| 1538100227 | Shawn Joseph Aucoin | Pharmacist | 1150 S 100 W, Logan, UT 84321-5573 | 2006-06-10 |
| Find all providers in LOGAN | ||||
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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.