Mark A Crossland, B.S. RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

41-1519261 Issued in IL

Practice address

1501 S Dirksen Pkwy
Springfield, IL 62703-2128

Phone

(217) 527-8408

Fax

(217) 528-8413

NPI assigned

Jan 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1326318924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CLEARVIEW DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046577",
            "telephone_number": "217-527-8408",
            "fax_number": "217-527-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S DIRKSEN PKWY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032128",
            "telephone_number": "217-527-8408",
            "fax_number": "217-528-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLAND",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "B.S. RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "41-1519261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411519261435",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Eileen Crooks, LCSW
• Dana Lynn Crosby, MD
• James David Cross, D.D.S.
• Amy J Crossett, RN
• Mackenzie Lynn Crossland, RBT
• Deborah Kay Crotser, S.L.P.
• Lynn M Crouch, DT
• Kaitlyn Crowder
• Courtney Crowell
• Jennifer Jo Crowl

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.