Active NPI
Amy M Crouch, RPH
- Pharmacist
- Hudson, WI
National Provider Identifier
1528264389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13598-040
- Practice address
- 405 Stageline Rd
Hudson, WI 54016-7848 - Phone
- (715) 531-6000
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 13598-040 | WI | Primary |
Addresses
Primary practice location
405 Stageline Rd
Hudson, WI 54016-7848
Mailing address
406 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13598-040 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1528264389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "54016",
"telephone_number": "715-531-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 STAGELINE RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540167848",
"telephone_number": "715-531-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUCH",
"first_name": "AMY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13598-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.