Crownpoint Pharmacy RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CROWNPOINT PHARMACY RX LLC

Doing business as

Crownpoint Pharmacy

Practice address

9150 E 109TH Ave Ste 1B
Crown Point, IN 46307-7686

Phone

(219) 488-1461

Fax

(219) 488-1462

NPI assigned

Jul 5, 2024

Organization subpart

No

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

Authorized official

Name

Hema Patel

Title

Pharmacy Owner

Phone

(813) 304-2221

Specialties & licenses 1

Addresses

Other names 1

• Crownpoint Pharmacy Doing business as

Tax ID family

Crownpoint Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Crownpoint Pharmacy RX LLC

  • Community/Retail Pharmacy
  • Crownpoint, IN
  • NPI 1245977701
  NPD tax ID
• Crownpoint Pharmacy RX LLC

  • Community/Retail Pharmacy
  • Crownpoint, IN
  • NPI 1588354518
  NPD tax ID

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1528804978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 1B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-488-1461",
            "fax_number": "219-488-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVE STE 1B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077686",
            "telephone_number": "219-488-1461",
            "fax_number": "219-488-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNPOINT PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "813-304-2221"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crownpoint Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crown Point Obstetrics & Gynecology, P.C.
• Crown Point Pediatric Dentistry
• Crown Point Pharmacy LLC
• Crown Point Surgical Suites, LLC
• Crown Point VC1, LLC
• Mark Oliver Magno Cruz, PTR
• Tracey K. Cruz
• Robert G Crytzer, LCSW
• Laurentia Cuddihy
• Anna R Cullotta, PA-C

• Long Term Care Pharmacy in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Long Term Care Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.