CRYSTAL G. MANGRUM C.PH.T – NPI #1518019876
Pharmacy Technician

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

CRYSTAL MANGRUM is a pharmacy technician located in KINGSTON SPRINGS, TN. NPPES has assigned the NPI number 1518019876 to CRYSTAL MANGRUM on January 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183700000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy Technician.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRYSTAL MANGRUM below.

NPI Profile for
CRYSTAL G. MANGRUM

NPI Number
1518019876
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CRYSTAL G. MANGRUM
Credentials
C.PH.T
Primary location
111 W. KINGSTON SPRINGS RD
STE 103
KINGSTON SPRINGS, TN 37082
Phone: (615) 952-3690 Fax: (615) 952-3692
Mailing address
PO BOX 420
BON AQUA, TN 37025-0420
Phone: (615) 412-3001 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183700000X
- Pharmacy Technician (Primary)
TN 14104

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.