NPIMap

Organization Active NPI

Crownpoint Pharmacy RX LLC

Doing business as Crownpoint Pharmacy

  • Community/Retail Pharmacy
  • Crown Point, IN
National Provider Identifier
1588354518
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CROWNPOINT PHARMACY RX LLC
Doing business as
Crownpoint Pharmacy
Practice address
9150 E 109TH Avenue
Suite B1
Crownpoint, IN 46307
Phone
(219) 488-1461
Fax
(219) 488-1462
NPI assigned
May 12, 2023
Last updated
May 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Hema Patel
Title
Owner
Phone
(888) 839-0929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9150 E 109TH Avenue
Suite B1
Crownpoint, IN 46307

Mailing address

9150 E 109TH Avenue
Suite B1
Crownpoint, IN 46307
Phone (219) 488-1461

Other names 1

  • Crownpoint Pharmacy Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1588354518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 E 109TH AVENUE",
            "address_2": "SUITE B1",
            "city": "CROWNPOINT",
            "state": "IN",
            "postal_code": "46307",
            "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 AVENUE",
            "address_2": "SUITE B1",
            "city": "CROWNPOINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-488-1461",
            "fax_number": "219-488-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNPOINT PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-839-0929"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crownpoint Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.