Individual provider Active NPI

Joseph Crofton

  • Pharmacist
  • Las Vegas, NV
National Provider Identifier
1740566249
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14419 Issued in NV
Practice address
5610 Centennial Center Blvd
Las Vegas, NV 89149-7104
Phone
(702) 395-3282
NPI assigned
Oct 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14419 NV Primary

Addresses

Primary practice location

5610 Centennial Center Blvd
Las Vegas, NV 89149-7104

Mailing address

5610 Centennial Center Blvd
Las Vegas, NV 89149-7104
Phone (702) 395-3282

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

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1740566249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 CENTENNIAL CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497104",
            "telephone_number": "702-395-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 CENTENNIAL CENTER BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891497104",
            "telephone_number": "702-395-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFTON",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "14419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.