Individual provider Active NPI

Carol Lynn Crawford, PHARM.D.

  • Pharmacist
  • Fontana, CA
National Provider Identifier
1184714263
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH37402 Issued in CA
Practice address
17296 Slover Ave
Home Health Pharmacy, Palm Court I
Fontana, CA 92337-7589
Phone
(906) 609-3360
Fax
(909) 609-3398
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH37402 CA Primary

Addresses

Primary practice location

17296 Slover Ave
Home Health Pharmacy, Palm Court I
Fontana, CA 92337-7589

Mailing address

17296 Slover Ave
Home Health Pharmacy, Palm Court I
Fontana, CA 92337-7589
Phone (906) 609-3360

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
RPH37402CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1184714263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17296 SLOVER AVE",
            "address_2": "HOME HEALTH PHARMACY, PALM COURT I",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "906-609-3360",
            "fax_number": "909-609-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17296 SLOVER AVE",
            "address_2": "HOME HEALTH PHARMACY, PALM COURT I",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "906-609-3360",
            "fax_number": "909-609-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH37402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.