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Crandall City Market Inc

Community/Retail Pharmacy in Fort Worth, TX · enumerated 2009 · authorized official Kurt Jaeger, Owner & President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255566287

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Registry record

Entity type Organization (Type 2)
Legal business name Crandall City Market Inc
Other name <Unavail>
Practice address 3563 Alton Rd, Fort Worth, TX, 76109
Phone (817) 429-2571
Fax (817) 921-6075
Enumeration date May 20, 2009
Last updated in NPPES Dec 10, 2009

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 26418 (TX) Primary

Authorized official

Name Kurt Jaeger
Title Owner & President
Phone (817) 429-2571

Other identifiers

Identifier Type State Issuer
1255566287 Medicaid TX -
4552281 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Crandall City Market Inc located?
The practice location on file with NPPES is in Fort Worth, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-10.