Individual provider Active NPI

Wendy Crow, RPH

  • Pharmacist
  • Monroe, LA
National Provider Identifier
1194192542
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
LA 016171 Issued in LA
Practice address
122 Saint John St Ste a
Monroe, LA 71201-7370
Phone
(318) 807-1083
Fax
(318) 807-1079
NPI assigned
Sep 1, 2015
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X LA 016171 LA Primary

Addresses

Primary practice location

122 Saint John St Ste a
Monroe, LA 71201-7370

Mailing address

122 Saint John St Ste a
Monroe, LA 71201-7370
Phone (318) 807-1083

Other practice location 1

2123 Forsythe Ave
Monroe, LA 71201-3610
Phone (318) 398-2100

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
LA 016171LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1194192542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SAINT JOHN ST STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017370",
            "telephone_number": "318-807-1083",
            "fax_number": "318-807-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SAINT JOHN ST STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017370",
            "telephone_number": "318-807-1083",
            "fax_number": "318-807-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Forsythe Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013610",
            "country_code": "US",
            "telephone_number": "318-398-2100",
            "fax_number": "318-387-7682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROW",
        "first_name": "WENDY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "LA 016171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.