Richard Crocker, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 27514 Issued in CA

Practice address

33961 Doheny Park Rd
San Juan Capistrano, CA 92675-4835

Phone

(949) 240-9573

Fax

(949) 240-9601

NPI assigned

Mar 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1346514510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33961 DOHENY PARK RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754835",
            "telephone_number": "949-240-9573",
            "fax_number": "949-240-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33961 DOHENY PARK RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754835",
            "telephone_number": "949-240-9573",
            "fax_number": "949-240-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 27514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miki Christine Cotner, AMFT161620
• Gabriel Covarrubias, M.D.
• Gonzalo Antonio Covarrubias, M.D.
• Gracia Covarrubias, MD
• Margaret A Creek, MFT, ATR-BC
• Esther Cruz Larios, ASW
• Gloria Anne Cullinane, M.A., M.F.T.,
• Donita Custard
• Terry D'Amico
• Marci Dadd, LMFT

• All providers in San Juan Capistrano, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.