Michelle Cruden

Primary specialty

PharmacistTaxonomy code 183500000X

License

062017 Issued in NY

Practice address

4901 State Highway 30
Amsterdam, NY 12010-7541

Phone

(518) 843-5585

NPI assigned

Nov 13, 2020

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

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.

• Martin'S Foods of South Burlington, LLC

  • Community/Retail Pharmacy
  • Troy, NY
  • NPI 1306574215
  NPD (past)
• Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Amsterdam, NY
  • NPI 1841308228
  NPD (past)

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1356943468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 HERMANCE RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 STATE HIGHWAY 30",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107541",
            "telephone_number": "518-843-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUDEN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care Physicians, PC
• Daryle Scott Conlin
• Mary Ellen Connors, N.P.
• Briana L Croker, DPT
• Crossroads Counseling Associates, LLC
• Csrnc, LLC
• Walter Donald Cummings, D.O.
• Lea Ann Cusano
• CVS Albany LLC
• Anthony D'Addio, D.M.D.

• Pharmacist in Amsterdam, NY
• Providers in Amsterdam, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.