Active NPI
Joyce Anne Domingo Cristobal, PHARMACIST (RPH)
- Pharmacist
- Cross River, NY
National Provider Identifier
1275306334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068829
- Practice address
- 20 N Salem Road (Cross River Pharmacy)
Cross River, NY 10518 - Phone
- (914) 763-3152
- Fax
- (914) 763-6567
- NPI assigned
- Nov 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 068829 | NY | Primary |
Addresses
Primary practice location
20 N Salem Road (Cross River Pharmacy)
Cross River, NY 10518
Mailing address
101 Carpenter Avenue Apt E-8
Mount Kisco, NY 10549
Phone (914) 522-3305
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 |
|---|---|---|---|
| 068829 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewisboro Pharmacy 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.
-
- Community/Retail Pharmacy
- Cross River, NY
- NPI 1023177490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1275306334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CARPENTER AVENUE APT E-8",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-522-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N SALEM ROAD (CROSS RIVER PHARMACY)",
"city": "CROSS RIVER",
"state": "NY",
"postal_code": "10518",
"telephone_number": "914-763-3152",
"fax_number": "914-763-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRISTOBAL",
"first_name": "JOYCE ANNE",
"middle_name": "DOMINGO",
"credential": "PHARMACIST (RPH)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.