DR. GORDON RALPH MCCRAE PHARMD
NPI 1629352836
Pharmacist in Pocatello, ID

Active since October 06, 2011
905 YELLOWSTONE AVE, POCATELLO, ID 83201(208) 233-2382(208) 233-2648 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gordon Ralph Mccrae Pharmd NPPES

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

DR. GORDON RALPH MCCRAE PHARMD (NPI 1629352836) is an individual pharmacist in Pocatello, Idaho, licensed in Idaho (P5103) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1629352836
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GORDON RALPH MCCRAECredential: PHARMD
Location Address905 YELLOWSTONE AVEPocatello, ID 83201-4416
Mailing Address905 Yellowstone AvePocatello, ID 83201-4416 · (208) 233-2382 · Fax (208) 233-2648
Fax(208) 233-2648
Sole ProprietorNo
Enumeration DateOctober 6, 2011
NPI 1629352836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ID · P5103
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.

905 YELLOWSTONE AVE, Pocatello, ID 83201

Other Providers at the Same Location NPPES 7

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

Pharmacy
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201
Pharmacist
905 YELLOWSTONE AVE
POCATELLO, ID 83201

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 Gordon Mccrae's NPI number?

The NPI number for Gordon Mccrae is 1629352836. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Gordon Mccrae located?

Gordon Mccrae practices at 905 Yellowstone Ave, Pocatello, ID 83201. The listed phone number is (208) 233-2382.

What is Gordon Mccrae'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 Gordon Mccrae was last updated on October 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.