Individual provider Active NPI

Luis Ernesto Colon-Cruz, PHARM.D.

  • Pharmacist
  • Fort Campbell, KY
National Provider Identifier
1801120845
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43312 Issued in FL
Practice address
650 Joel Drive
Blanchfield Army Community Hospital
Fort Campbell, KY 42223
Phone
(270) 798-8566
Fax
(270) 798-8566
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43312 FL Primary
Pharmacist 183500000X 5319 PR

Addresses

Primary practice location

650 Joel Drive
Blanchfield Army Community Hospital
Fort Campbell, KY 42223

Mailing address

65 West Dr
Clarksville, TN 37040-6741
Phone (787) 538-1985

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
43312FLMDPharmacist
5319PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1801120845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WEST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406741",
            "telephone_number": "787-538-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DRIVE",
            "address_2": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-798-8566",
            "fax_number": "270-798-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-CRUZ",
        "first_name": "LUIS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "43312",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.