Crestwood Pharmacy, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

0201002231 Issued in VA

Legal business name

CRESTWOOD PHARMACY, INC

Practice address

10696 Crestwood Dr Ste a
Manassas, VA 20109-4411

Phone

(703) 368-2737

Fax

(703) 368-3673

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Dellinger

Title

Pharmacist

Phone

(703) 368-2737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588743512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10696 CRESTWOOD DR STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094411",
            "telephone_number": "703-368-2737",
            "fax_number": "703-368-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 CRESTWOOD DR STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201094411",
            "telephone_number": "703-368-2737",
            "fax_number": "703-368-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "703-368-2737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0201002231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Crennan, LPC
• Cyndi L Crespin Cardona, NP
• Nancy Katherine Crespo-Richardson, LPC
• Crestwood Optical
• Crestwood Pediatric Associates PC
• Paige Rochelle Crisler-Smith, LCSW
• Amanda Criste, MA, NCC
• Leslie-Brhette Crowe, LPTA
• Patty Cruz, MSPT
• Sherry Nicole Csutoros, BCBA

• Pharmacist in Manassas, VA
• Providers in Manassas, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.