Individual provider Active NPI

Crisanta Vogan

  • Pharmacist
  • N Muskegon, MI
National Provider Identifier
1376842518
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302032972 Issued in MI
Practice address
2580 Lake Ave
N Muskegon, MI 49445-3323
Phone
(231) 744-2401
Fax
(231) 744-9951
NPI assigned
Mar 25, 2011
Last updated
Mar 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302032972 MI Primary

Addresses

Primary practice location

2580 Lake Ave
N Muskegon, MI 49445-3323

Mailing address

2241 Filinow Dr
Muskegon, MI 49444-4051

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
5302032972MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1376842518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 FILINOW DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494444051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 LAKE AVE",
            "city": "N MUSKEGON",
            "state": "MI",
            "postal_code": "494453323",
            "telephone_number": "231-744-2401",
            "fax_number": "231-744-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGAN",
        "first_name": "CRISANTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302032972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.