Provider Demographics
NPI:1295579530
Name:CREAN, JEREMIAH PATRICK (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JEREMIAH
Middle Name:PATRICK
Last Name:CREAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16900 RANCH ROAD 620
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-3911
Mailing Address - Country:US
Mailing Address - Phone:512-238-7905
Mailing Address - Fax:
Practice Address - Street 1:16900 RANCH ROAD 620
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-3911
Practice Address - Country:US
Practice Address - Phone:512-238-7905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX74672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program