ANDREA CRISMON PHARMD
NPI 1124294269
Pharmacist in Poplar Bluff, MO

Active since May 07, 2008
2002 KANELL BLVD STE 102, POPLAR BLUFF, MO 63901(573) 778-1608 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea Crismon Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA CRISMON PHARMD (NPI 1124294269) is an individual pharmacist in Poplar Bluff, Missouri, licensed in Missouri (2005040268) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1124294269
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameANDREA CRISMONCredential: PHARMD
Location Address2002 KANELL BLVD STE 102Poplar Bluff, MO 63901-4011
Mailing Address2002 Kanell Blvd Ste 102Poplar Bluff, MO 63901-4011 · (573) 778-1608
Sole ProprietorNo
Enumeration DateMay 7, 2008
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
NPI 1124294269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2005040268
Definition
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.
2002 KANELL BLVD STE 102, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD STE 102
POPLAR BLUFF, MO 63901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Crismon's NPI number?

The NPI number for Andrea Crismon is 1124294269. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Andrea Crismon located?

Andrea Crismon practices at 2002 Kanell Blvd Ste 102, Poplar Bluff, MO 63901. The listed phone number is (573) 778-1608.

What is Andrea Crismon's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Andrea Crismon was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.