Active NPI
Irene Croswell, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Woodburn, OR
National Provider Identifier
1215990916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- OR0009231
- Practice address
- 1550 N Pacific Hwy
Safeway Pharmacy #1976
Woodburn, OR 97071-3622 - Phone
- (503) 982-2864
- Fax
- (503) 982-2868
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9231 | OR | |
| Pharmacist | 183500000X | 11671 | LA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | OR0009231 | OR | Primary |
Addresses
Primary practice location
1550 N Pacific Hwy
Safeway Pharmacy #1976
Woodburn, OR 97071-3622
Mailing address
1550 N Pacific Hwy
Safeway Pharmacy #1976
Woodburn, OR 97071-3622
Phone (503) 982-2864
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9231 | OR | MD | Pharmacist |
| OR0009231 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 11671 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1215990916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 N PACIFIC HWY",
"address_2": "SAFEWAY PHARMACY #1976",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970713622",
"telephone_number": "503-982-2864",
"fax_number": "503-982-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N PACIFIC HWY",
"address_2": "SAFEWAY PHARMACY #1976",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970713622",
"telephone_number": "503-982-2864",
"fax_number": "503-982-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSWELL",
"first_name": "IRENE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "9231",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11671",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "OR0009231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.