Provider Demographics
NPI:1548382559
Name:JONES, CRAIG S (RPH)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:S
Last Name:JONES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-2701
Mailing Address - Country:US
Mailing Address - Phone:631-288-5845
Mailing Address - Fax:631-898-0132
Practice Address - Street 1:161 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2701
Practice Address - Country:US
Practice Address - Phone:631-288-5845
Practice Address - Fax:631-898-0132
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2022-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist