Individual provider Active NPI

Patricia W. Langston-Crusoe, PHARMACIST

  • Pharmacist
  • Lauderhill, FL
National Provider Identifier
1215138938
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PU3663 Issued in FL
Practice address
2409 NW 55TH Way
Lauderhill, FL 33313-3032
Phone
(954) 760-9607
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS23015 FL
Pharmacist 183500000X PU3663 FL Primary

Addresses

Primary practice location

2409 NW 55TH Way
Lauderhill, FL 33313-3032

Mailing address

2409 NW 55TH Way
Lauderhill, FL 33313-3032
Phone (954) 760-9607

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

State licenses

LicenseStateTypeSpecialty
PS23015FLMDPharmacist
PU3663FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1215138938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 NW 55TH WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133032",
            "telephone_number": "954-760-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 NW 55TH WAY",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133032",
            "telephone_number": "954-760-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON-CRUSOE",
        "first_name": "PATRICIA",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS23015",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PU3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.