Active NPI
Kamila Lea Crouse, PHARM .D.
- Pharmacist
- Lake Village, AR
National Provider Identifier
1396563748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD11102
- Practice address
- 2907 Hwy 65-82 South
Lake Village, AR 71653 - Phone
- (870) 265-5555
- Fax
- (870) 265-3174
- NPI assigned
- Oct 2, 2024
- Last updated
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD11102 | AR | Primary |
Addresses
Primary practice location
2907 Hwy 65-82 South
Lake Village, AR 71653
Mailing address
P.O. Box 548
Lake Village, AR 71653
Phone (870) 265-5555
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD11102 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Village Drugstore, Inc. | Pharmacist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}Other providers in Lake Village, AR
Sources for this page
- 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.