Active NPI
Crystal Hoang, PHARMD
- Pharmacist
- Sherwood, OR
National Provider Identifier
1669035044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16844
- Practice address
- 21365 SW Baler Way
Sherwood, OR 97140-8989 - Phone
- (503) 610-6001
- Fax
- (503) 610-9195
- NPI assigned
- Apr 21, 2019
- Last updated
- Nov 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77949 | CA | |
| Pharmacist | 183500000X | 16844 | OR | Primary |
Addresses
Primary practice location
21365 SW Baler Way
Sherwood, OR 97140-8989
Mailing address
21365 SW Baler Way
Sherwood, OR 97140-8989
Phone (503) 610-6001
Other practice location 1
3790 Center St NE
Salem, OR 97301-2905
Phone (503) 588-4433
Other practice location 2
17625 Harvard Ave
Irvine, CA 92614-8544
Phone (949) 261-5690
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77949 | CA | MD | Pharmacist |
| 16844 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1669035044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21365 SW BALER WAY",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408989",
"telephone_number": "503-610-6001",
"fax_number": "503-610-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21365 SW BALER WAY",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "971408989",
"telephone_number": "503-610-6001",
"fax_number": "503-610-9195"
}
],
"practiceLocations": [
{
"address_1": "3790 Center St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973012905",
"country_code": "US",
"telephone_number": "503-588-4433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17625 Harvard Ave",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926148544",
"country_code": "US",
"telephone_number": "949-261-5690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOANG",
"first_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-21",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77949",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "16844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherwood, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.