Healthcare Provider Details

I. General information

NPI: 1902502131
Provider Name (Legal Business Name): KEITH P. CRAFFEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 08/31/2025
Certification Date: 08/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 E FALMOUTH HWY
EAST FALMOUTH MA
02536-6166
US

IV. Provider business mailing address

106 ROCKY HILL RD
REHOBOTH MA
02769-1415
US

V. Phone/Fax

Practice location:
  • Phone: 302-422-3341
  • Fax:
Mailing address:
  • Phone: 401-297-7743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberA1-0015556
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH25924
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: