India Larkins Crockem, PHARM.D., RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

38163 Issued in TX

Practice address

1250 8TH Ave Ste 125
Fort Worth, TX 76104-4156

Phone

(817) 922-3800

Fax

(817) 922-3810

NPI assigned

Nov 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Baylor Scott & White Health Enterprises, Inc.

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1235389024
  NPD (past)
• Baylor Scott & White Health Enterprises, Inc.

  • Community/Retail Pharmacy
  • Brenham, TX
  • NPI 1679246011
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Grand Prairie, TX
  • NPI 1992712905
  NPD (past)

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1295062297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044156",
            "telephone_number": "817-922-3800",
            "fax_number": "817-922-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 125",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044156",
            "telephone_number": "817-922-3800",
            "fax_number": "817-922-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 E Southlake Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760921477",
            "country_code": "US",
            "telephone_number": "817-912-8710",
            "fax_number": "817-212-8715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKEM",
        "first_name": "INDIA",
        "middle_name": "LARKINS",
        "credential": "PHARM.D., RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Evan Crist
• Cristela Flores Serenity Hospice LLC
• Ricardo Cristobal, M.D.
• Jared Criswell, M.D.
• Gay Elaine Crites, LMSW
• Jeanne V Crockett, L.C.S.W.
• McKenzie Crockett
• Theodore W Crofford, MD
• Christina Croft, M.S. CCC-SLP
• Thomas Grimerson Croft III, D.D.S.

• Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.