Crystle Tillis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13157 Issued in NC

Practice address

304 E Washington St
Rockingham, NC 28379-3644

Phone

(910) 434-8951

Fax

(910) 434-8953

NPI assigned

Apr 18, 2017

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Pharmacy, Inc

  • Long Term Care Pharmacy
  • Rockingham, NC
  • NPI 1053110924
  NPD Authorized official
• Dr Pharmacy, Inc

  • Community/Retail Pharmacy
  • Rockingham, NC
  • NPI 1255824538
  NPD Authorized official
• Birmingham Drug Co Inc

  • Community/Retail Pharmacy
  • Hamlet, NC
  • NPI 1558353110
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1073047858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W MAIN ST",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453629",
            "telephone_number": "910-582-3585",
            "fax_number": "910-582-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E WASHINGTON ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793644",
            "telephone_number": "910-434-8951",
            "fax_number": "910-434-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLIS",
        "first_name": "CRYSTLE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Mental Health Association in North Carolina, Inc. (Richmond PSR)
• The Purcell Clinic, PA
• Therapeutic Alternatives Inc.
• Therapeutic Behavioral Solutions LLC
• Dontrease Monique Thomas, MA, LCMHC
• Courtney Chevonni Tillman
• James David Todd
• Louis Antonio Torres, M.D.
• Total Renal Care of North Carolina LLC (Sandhills Dialysis)
• Towergate Youth and Family Services, Inc.

• Pharmacist in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.