Healthcare Provider Details

I. General information

NPI: 1407263031
Provider Name (Legal Business Name): CHRISTOPHER PAUL KREY PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4219 HARP CT
LAS CRUCES NM
88011-0919
US

IV. Provider business mailing address

4219 HARP CT
LAS CRUCES NM
88011-0919
US

V. Phone/Fax

Practice location:
  • Phone: 575-288-1440
  • Fax:
Mailing address:
  • Phone: 575-288-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPT04927
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number18762
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00008233
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60465352
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0014499
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: