NPIMap

Individual provider Active NPI

Lisa Crawford

  • Pharmacist
  • Pompano Beach, FL
National Provider Identifier
1821229428
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH24183 Issued in FL
Practice address
2661 W Atlantic Blvd
Pompano Beach, FL 33069-2507
Phone
(954) 917-6813
Fax
(954) 917-6814
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH24183 FL Primary

Addresses

Primary practice location

2661 W Atlantic Blvd
Pompano Beach, FL 33069-2507

Mailing address

2661 W Atlantic Blvd
Pompano Beach, FL 33069-2507
Phone (954) 917-6813

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

State licenses

LicenseStateTypeSpecialty
PH24183FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Integra Network Corp Past Accepting new patients
Integra Network Corp Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1821229428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692507",
            "telephone_number": "954-917-6813",
            "fax_number": "954-917-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 W ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692507",
            "telephone_number": "954-917-6813",
            "fax_number": "954-917-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PH24183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.