Crystal Home Healthcare Phcy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRYSTAL HOME HEALTHCARE PHCY

Practice address

15819 Schoolcraft St
Detroit, MI 48227-1749

Phone

(313) 493-4900

Fax

(313) 493-4904

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Adams, RPH

Title

Phcy MGR

Phone

(313) 493-4900

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Crystal Home Healthcare Phcy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• RX Adams PLC

  • Community/Retail Pharmacy
  • Southfield, MI
  • NPI 1174874994
  NPD tax ID

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1255346870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15819 SCHOOLCRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15819 SCHOOLCRAFT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271749",
            "telephone_number": "313-493-4900",
            "fax_number": "313-493-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOME HEALTHCARE PHCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHCY MGR",
        "authorized_official_telephone_number": "313-493-4900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301008320",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Cruz
• Kendorah Cruz
• Minh Nguyen Cruz, MD
• Crystal a. Jackson, PH.D. , LLP, LLC
• Crystal Dietary Service Inc
• Crystal Serenity House
• Crystal Social Service Inc
• Cscomrie Psychology PLLC
• Lynn Cuadra
• Cesar Padua Cube, M.D.

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.