Individual provider Active NPI

Crystal Carey Sartuche

  • Pharmacy Technician
  • Corcoran, CA
National Provider Identifier
1316608490
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
161718 Issued in CA
Practice address
1500 Whitley Ave
Corcoran, CA 93212-2226
Phone
(559) 992-8020
Fax
(559) 992-3881
NPI assigned
Dec 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 161718 CA Primary

Addresses

Primary practice location

1500 Whitley Ave
Corcoran, CA 93212-2226

Mailing address

1500 Whitley Ave
Corcoran, CA 93212-2226
Phone (559) 992-8020

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

LicenseStateTypeSpecialty
161718CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Jan 2, 2022 Accepting new patients
Thrifty Payless Inc PastSince Jan 2, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1316608490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WHITLEY AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122226",
            "telephone_number": "559-992-8020",
            "fax_number": "559-992-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WHITLEY AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122226",
            "telephone_number": "559-992-8020",
            "fax_number": "559-992-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTUCHE",
        "first_name": "CRYSTAL",
        "middle_name": "CAREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "161718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corcoran, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.