Crystal Butuza, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022279 Issued in AZ

Practice address

12320 N 83Rd Ave
Peoria, AZ 85381-4155

Phone

(623) 979-1282

Fax

(623) 979-2207

NPI assigned

Feb 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Hibben Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1639569486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814155",
            "telephone_number": "623-979-1282",
            "fax_number": "623-979-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814155",
            "telephone_number": "623-979-1282",
            "fax_number": "623-979-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTUZA",
        "first_name": "CRYSTAL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HIBBEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.