Individual provider Active NPI

Joanne Kaye Tizon Cruz

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1275392839
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
89313 Issued in CA
Practice address
1175 Columbus Ave
San Francisco, CA 94133-1729
Phone
(415) 345-1079
Fax
(415) 673-3749
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 89313 CA Primary

Addresses

Primary practice location

1175 Columbus Ave
San Francisco, CA 94133-1729

Mailing address

1175 Columbus Ave
San Francisco, CA 94133-1729
Phone (415) 345-1079

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 24, 2024 Accepting new patients
Walgreen Co PastSince Mar 24, 2024 Accepting new patients

Locations

1175 Columbus Ave
San Francisco, CA 94133
Phone (415) 345-1079

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1275392839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 COLUMBUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941331729",
            "telephone_number": "415-345-1079",
            "fax_number": "415-673-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COLUMBUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941331729",
            "telephone_number": "415-345-1079",
            "fax_number": "415-673-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOANNE KAYE",
        "middle_name": "TIZON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "89313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.