Active NPI
Maritza Cassandra Crosby, PHARMACY TECHNICIAN
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1073225116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT-0008612
- Practice address
- 5431 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1918 - Phone
- (503) 245-7231
- Fax
- (503) 246-1220
- NPI assigned
- Dec 20, 2022
- Last updated
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT-0008612 | OR | Primary |
Addresses
Primary practice location
5431 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1918
Mailing address
5431 SW Beaverton Hillsdale Hwy
Portland, OR 97221-1918
Phone (503) 245-7231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | OR | 0 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPT-0008612 | OR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1073225116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211918",
"telephone_number": "503-245-7231",
"fax_number": "503-246-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5431 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211918",
"telephone_number": "503-245-7231",
"fax_number": "503-246-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "MARITZA",
"middle_name": "CASSANDRA",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT-0008612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.