Individual provider Active NPI

Crystal Maharaj, PHARMD

  • Pharmacist
  • Naples, FL
National Provider Identifier
1245889666
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS59906 Issued in FL
Practice address
2511 Pine Ridge Rd
Naples, FL 34109-5971
Phone
(239) 451-3349
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS59906 FL Primary

Addresses

Primary practice location

2511 Pine Ridge Rd
Naples, FL 34109-5971

Mailing address

2511 Pine Ridge Rd
Naples, FL 34109-5971
Phone (239) 451-3349

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL IntercomPlus

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS59906FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1245889666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095971",
            "telephone_number": "239-451-3349",
            "fax_number": "239-451-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341095971",
            "telephone_number": "239-451-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARAJ",
        "first_name": "CRYSTAL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "IntercomPlus",
            "affiliation": "N",
            "address_1": "2511 Pine Ridge Rd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341095971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.