Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gordon Ralph McCrae, PHARMD

Individual provider Pharmacist · NPI 1629352836

Dr. Gordon Ralph McCrae, PHARMD is a Pharmacist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

905 Yellowstone Ave
Pocatello, ID 83201-4416
Phone: (208) 233-2382
Fax: (208) 233-2648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P5103 (ID)

Record details

NPI number1629352836
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESOctober 6, 2011

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