M. C. Maddux - B. a. Crowson

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30556 Issued in CA

Legal business name

M. C. MADDUX - B. A. CROWSON

Doing business as

Terrace Pharmacy

Practice address

1283 E 1St Ave
Chico, CA 95926-1548

Phone

(530) 342-0171

Fax

(530) 342-4153

NPI assigned

Nov 16, 2006

Last updated

Aug 13, 2008By 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

Bruce A Crowson, CPHT

Title

Partner

Phone

(530) 342-0171

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Terrace Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1629141957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 E 1ST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261548",
            "telephone_number": "530-342-0171",
            "fax_number": "530-342-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 E 1ST AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261548",
            "telephone_number": "530-342-0171",
            "fax_number": "530-342-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. C. MADDUX - B. A. CROWSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "CROWSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "530-342-0171",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY30556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA305560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0530332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roberta Lynch
• Jennifer Elaine Lyon, M.S., L.M.F.T.
• Aaron Leonard Lyons, MFT
• Daniel Patrick Lyons, PHARMD
• Kendall Lyons
• Jeff Macdonald
• Malcolm Macdonald, MD
• James Patrick Mace, D.S.W., L.C.S.W
• Margaret Faye Macias, IMF
• Miranda Mackabee

• Community/Retail Pharmacy in Chico, CA
• Providers in Chico, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.