Crystal Phillips, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202211038 Issued in VA

Practice address

1050 Regional Park Rd
Lebanon, VA 24266-3712

Phone

(276) 889-3547

NPI assigned

Mar 17, 2021

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

Doctor of Pharmacy

State licenses

Practice roles

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

• Cavalier Pharmacy Inc

  • Community/Retail Pharmacy
  • Wise, VA
  • NPI 1568487387

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1154906402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 REGIONAL PARK RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663712",
            "telephone_number": "276-608-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REGIONAL PARK RD",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242663712",
            "telephone_number": "276-889-3547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11538 Corder Town Rd",
            "address_purpose": "LOCATION",
            "city": "Coeburn",
            "state": "VA",
            "postal_code": "242305935",
            "country_code": "US",
            "telephone_number": "276-608-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Occupational Enterprises, Incorporated
• Mary Catherine Olmsted, M.D.
• Sharon D Owens
• Pain Management of Swva, Inc.
• Crystal Leann Perkins, PHARMD
• Paul Arthur Phillips, D.O.
• Pioneer Counseling Center, LLC
• Pioneer Family Medicine
• Jessica L. Pionk, PA-C
• Christy Carty Porter, FNP

• Pharmacist in Lebanon, VA
• Providers in Lebanon, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.