Crest RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

75537 Issued in OK

Legal business name

CREST RX LLC

Doing business as

Crest RX

Practice address

10601 S May Ave Ste 11
Oklahoma City, OK 73170-2501

Phone

(405) 378-7171

Fax

(405) 378-7173

NPI assigned

Jun 18, 2010

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara JusticeNPI 1801353172

Title

Manager

Phone

(405) 378-7171

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CREST RX Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Justice, D.PH

  • Pharmacist
  • Pauls Valley, OK
  • NPI 1801353172
  NPD Authorized official
• Katey Carter, DPH, MBA

  • Pharmacist
  • Oklahoma City, OK
  • NPI 1679030761
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1205157724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 S MAY AVE STE 11",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702501",
            "telephone_number": "405-378-7171",
            "fax_number": "405-378-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 S MAY AVE STE 11",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731702501",
            "telephone_number": "405-378-7171",
            "fax_number": "405-378-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "JUSTICE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-378-7171"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "75537",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200293490A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CREST RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crescent Post Acute Care PLLC
• Emely Crespin
• Aimee Crespo-Mendez, M.S.
• Karen E Crespo, MSN ACNP
• Manuel O Crespo, DO
• Christopher Norman Crider, BHRS
• Christian M Crigler
• Aleia Crim, MD
• Riley Thomas Crismon, DDS
• Linda S Crist

• Community/Retail Pharmacy in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.