Individual provider Active NPI

Crystal Eudaliza Toribio, PHARMD

  • Pharmacist
  • Sunnyside, NY
National Provider Identifier
1669078986
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
067310-01 Issued in NY
Practice address
4142 42ND St Apt 5B
Sunnyside, NY 11104-2717
Phone
(914) 817-3503
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 067310-01 NY Primary

Addresses

Primary practice location

4142 42ND St Apt 5B
Sunnyside, NY 11104-2717

Mailing address

4142 42ND St Apt 5B
Sunnyside, NY 11104-2717
Phone (914) 817-3503

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

LicenseStateTypeSpecialty
067310-01NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1669078986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 42ND ST APT 5B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042717",
            "telephone_number": "914-817-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 42ND ST APT 5B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042717",
            "telephone_number": "914-817-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORIBIO",
        "first_name": "CRYSTAL",
        "middle_name": "EUDALIZA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067310-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.