Christie Sue Crockett, PHARM.D, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

46453 Issued in TX

Practice address

8202 Culebra Rd
San Antonio, TX 78251-1686

Phone

(210) 543-8419

Fax

(210) 543-8425

NPI assigned

Dec 1, 2009

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

Other names 1

• Christie Sue Vongsurith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

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.

• Walgreen Co

  • Pharmacy
  • San Antonio, TX
  • NPI 1538176540
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1194053223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511686",
            "telephone_number": "210-543-8419",
            "fax_number": "210-543-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 CULEBRA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511686",
            "telephone_number": "210-543-8419",
            "fax_number": "210-543-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "CHRISTIE",
        "middle_name": "SUE",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-01",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "46453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "VONGSURITH",
            "middle_name": "SUE",
            "credential": "PHARM.D, RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CRM Enterprises, Inc.
• Megan Crnokrak
• Krystal Croce, SLP-ASST
• Amy Faye Crocker, PT, DPT, OCS
• Nicole Crocker
• Elizabeth Ann Crockett, FNP
• Jason Robert Crockett, PA-C
• Kimberly Crockett
• Richard William Crockett, M.D.
• Judith Maria Croeser, RRT

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; 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.