Active NPI
Clarissa-Cecile Xulin Wu, PHARMD, RPH
- Pharmacist
- Crow Agency, MT
National Provider Identifier
1619644150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P9401
- Practice address
- 10110 South 7650 East
Crow Agency, MT 59022 - Phone
- (406) 638-3500
- NPI assigned
- Aug 24, 2021
- 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 | P9401 | ID | Primary |
Addresses
Primary practice location
10110 South 7650 East
Crow Agency, MT 59022
Mailing address
208 N Choteau Ave
Hardin, MT 59034-1733
Phone (949) 892-8482
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9401 | ID | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1619644150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N CHOTEAU AVE",
"city": "HARDIN",
"state": "MT",
"postal_code": "590341733",
"telephone_number": "949-892-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10110 SOUTH 7650 EAST",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "59022",
"telephone_number": "406-638-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "CLARISSA-CECILE",
"middle_name": "XULIN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P9401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.