Individual provider Active NPI

Eva Aida Crocco, PHARM.D.

  • Pharmacist
  • Tempe, AZ
National Provider Identifier
1114277209
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S014984 Issued in AZ
Practice address
1818 E Baseline Rd
Tempe, AZ 85283-1502
Phone
(480) 831-2292
NPI assigned
Sep 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S014984 AZ Primary

Addresses

Primary practice location

1818 E Baseline Rd
Tempe, AZ 85283-1502

Mailing address

1818 E Baseline Rd
Tempe, AZ 85283-1502
Phone (480) 831-2292

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
S014984AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1114277209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831502",
            "telephone_number": "480-831-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E BASELINE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831502",
            "telephone_number": "480-831-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCCO",
        "first_name": "EVA",
        "middle_name": "AIDA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.