Active NPI
David Dixon Croll
- Pharmacist
- Durango, CO
National Provider Identifier
1255542346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17076
- Practice address
- 28 Town PLZ
Durango, CO 81301-5102 - Phone
- (970) 247-5057
- NPI assigned
- May 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17076 | CO | Primary |
Addresses
Primary practice location
28 Town PLZ
Durango, CO 81301-5102
Mailing address
84 Riverview Dr
Durango, CO 81301-4372
Phone (970) 903-3564
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17076 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255542346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 RIVERVIEW DR",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014372",
"telephone_number": "970-903-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 TOWN PLZ",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015102",
"telephone_number": "970-247-5057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROLL",
"first_name": "DAVID",
"middle_name": "DIXON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.