Active NPI
Kristen Angela Garcia Cruz, RPH
- Pharmacist
- Fair Oaks, CA
National Provider Identifier
1285245050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81883
- Practice address
- 5420 Dewey Dr
Fair Oaks, CA 95628-3138 - Phone
- (916) 864-4803
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- 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 | 81883 | CA | Primary |
Addresses
Primary practice location
5420 Dewey Dr
Fair Oaks, CA 95628-3138
Mailing address
8964 Cypress View Way
Elk Grove, CA 95758-6311
Phone (916) 897-0543
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81883 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
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.
-
dba CVS Pharmacy #09199
- Community/Retail Pharmacy
- Fair Oaks, CA
- NPI 1871637579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1285245050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8964 CYPRESS VIEW WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957586311",
"telephone_number": "916-897-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5420 DEWEY DR",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283138",
"telephone_number": "916-864-4803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "KRISTEN ANGELA",
"middle_name": "GARCIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.