Active NPI
Stephen Crocco
- Pharmacist
- Houston, TX
National Provider Identifier
1710164082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047528
- Practice address
- 747 E Crosstimbers St
Houston, TX 77022-3725 - Phone
- (713) 695-2427
- Fax
- (713) 695-2427
- NPI assigned
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 047528 | NY | Primary |
Addresses
Primary practice location
747 E Crosstimbers St
Houston, TX 77022-3725
Mailing address
747 E Crosstimbers St
Houston, TX 77022-3725
Phone (713) 695-2427
Other practice location 1
259 Saratoga Rd
Scotia, NY 12302-4503
Phone (518) 399-6351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00535997 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Locations
747 E Crosstimbers St
Houston, TX 77022
Phone (713) 695-2427
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Houston, TX
- NPI 1689689630
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Glenville, NY
- NPI 1578664033
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672012800000",
"number": "1710164082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 E CROSSTIMBERS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770223725",
"telephone_number": "713-695-2427",
"fax_number": "713-695-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 E CROSSTIMBERS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770223725",
"telephone_number": "713-695-2427",
"fax_number": "713-695-2427"
}
],
"practiceLocations": [
{
"address_1": "259 Saratoga Rd",
"address_purpose": "LOCATION",
"city": "Scotia",
"state": "NY",
"postal_code": "123024503",
"country_code": "US",
"telephone_number": "518-399-6351",
"fax_number": "518-399-0259",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROCCO",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2022-12-26",
"certification_date": "2022-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00535997",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.