Crystal Health Services Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P05168 Issued in MD

Legal business name

CRYSTAL HEALTH SERVICES INC

Practice address

9351 Lakeside Blvd Ste 103
Owings Mills, MD 21117-5063

Phone

(410) 363-8222

Fax

(410) 363-2133

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Manojna Chalasani

Title

Pharmacy Manager

Phone

(410) 963-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Newtown pharmacy Doing business as

Locations

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1790015345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174503",
            "telephone_number": "410-363-8222",
            "fax_number": "410-363-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 LAKESIDE BLVD STE 103",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175063",
            "telephone_number": "410-363-8222",
            "fax_number": "410-363-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "MANOJNA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "410-963-0444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P05168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2135019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newtown pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.