Active NPI
Nicole Crossley
- Pharmacist
- Cantonment, FL
National Provider Identifier
1285358291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53526
- Practice address
- 2090 S Highway 29
Cantonment, FL 32533-8699 - Phone
- (850) 501-3260
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PS53526 | FL | Primary |
Addresses
Primary practice location
2090 S Highway 29
Cantonment, FL 32533-8699
Mailing address
2090 S Highway 29
Cantonment, FL 32533-8699
Phone (850) 501-3260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH20939 | Other | FL | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.crossley@cvshealth.com | Direct |
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 |
|---|---|---|---|
| PS53526 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1285358291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 S HIGHWAY 29",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325338699",
"telephone_number": "850-501-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 S HIGHWAY 29",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325338699",
"telephone_number": "850-501-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLEY",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PH20939",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicole.crossley@cvshealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2090 S Highway 29",
"city": "Cantonment",
"state": "FL",
"country_code": "US",
"postal_code": "325338699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cantonment, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.