Kamila Lea Crouse, PHARM .D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD11102 Issued in AR

Practice address

2907 Hwy 65-82 South
Lake Village, AR 71653

Phone

(870) 265-5555

Fax

(870) 265-3174

NPI assigned

Oct 2, 2024

Sex

Female

Sole proprietor

No

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.

• Lake Village Drugstore, Inc.

  • Community/Retail Pharmacy
  • Lake Village, AR
  • NPI 1487789400

  Pharmacist

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2025.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1396563748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 548",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5555",
            "fax_number": "870-265-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 HWY 65-82 SOUTH",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5555",
            "fax_number": "870-265-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "KAMILA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PHARM .D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Damon Clark, OT-A
• Cheryl A Cole
• Lisa Cooper
• Chiquita R Courtney, ADULT CASE MANAGER
• Jennifer Crnkovic
• Khalil Lynn Crouse, PHARM.D.
• Michelle Leigh Crouse, PHARM D.
• Ronicia Johnson Cunningham
• Dalco Enterprises Inc
• Sharecka Davis

• All providers in Lake Village, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.