Organization Active NPI

CRSM Inc

Doing business as Medicine Shoppe

  • Pharmacy
  • St Thomas, VI
National Provider Identifier
1669684270
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1-11242-1L Issued in VI
Legal business name
CRSM INC
Doing business as
Medicine Shoppe
Practice address
9004 Havensight Shopping Center
Suite D-F
St. Thomas, VI 00802-2657
Phone
(340) 776-1235
Fax
(340) 776-1776
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Ms. Ralda V Simmonds, RPH
Title
President-Pharmacy Manager
Phone
(340) 776-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1-11242-1L VI Primary

Addresses

Primary practice location

9004 Havensight Shopping Center
Suite D-F
St. Thomas, VI 00802-2657

Mailing address

9004 Havensight Shopping Center
Suite D-F
St. Thomas, VI 00802-2657
Phone (340) 776-1235

Other identifiers 1

IdentifierTypeStateIssuer
1337MedicaidVI

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

9004 Havensight Shopp Ctr
Ste Df
St Thomas, VI 00802
Phone (340) 776-1235

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1669684270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 HAVENSIGHT SHOPPING CENTER",
            "address_2": "SUITE D-F",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "008022657",
            "telephone_number": "340-776-1235",
            "fax_number": "340-776-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 HAVENSIGHT SHOPPING CENTER",
            "address_2": "SUITE D-F",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "008022657",
            "telephone_number": "340-776-1235",
            "fax_number": "340-776-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRSM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "RALDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT-PHARMACY MANAGER",
        "authorized_official_telephone_number": "340-776-1235",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VI",
            "license": "1-11242-1L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Thomas, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.