Active NPI
Crystal Hughkeith
- Community/Retail Pharmacy
- Cleveland, OH
National Provider Identifier
1659143436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 30067610
- Practice address
- 4500 Euclid Ave
Cleveland, OH 44103-3736 - Phone
- (216) 432-7200
- NPI assigned
- Oct 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 30067610 | OH | Primary |
Addresses
Primary practice location
4500 Euclid Ave
Cleveland, OH 44103-3736
Mailing address
1919 E 55TH St Apt 1311
Cleveland, OH 44103-3698
Phone (440) 661-3382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30067610 | OH | MD | Community/Retail Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1659143436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 E 55TH ST APT 1311",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033698",
"telephone_number": "440-661-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033736",
"telephone_number": "216-432-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHKEITH",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-25",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": "30067610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.