Crestview City Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRESTVIEW CITY PHARMACY INC

Doing business as

Crestview City Pharmacy

Practice address

310 S Ferdon Blvd
Crestview, FL 32536-3722

Phone

(850) 428-1057

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Densman

Title

Owner

Phone

(850) 428-1057

Specialties & licenses 1

Addresses

Other names 1

• Crestview City Pharmacy Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Reshay Wood, PHARMD

  • Pharmacist
  • Crestview, FL
  • NPI 1699321331
  NPD

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1871207837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 MELTON RD",
            "city": "BAKER",
            "state": "FL",
            "postal_code": "325315372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325363722",
            "telephone_number": "850-428-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "DENSMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-428-1057"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "crestviewcitypharmacy@gmail.com",
            "affiliation": "N",
            "address_1": "310 S Ferdon Blvd",
            "city": "Crestview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325363722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crestview City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Craig, APRN
• Bridget Cramer
• Creative Orthotic & Prosthetic Services
• Traci Ann Cremer, ISW
• Crestview Chiropractic Clinic, Inc
• Crestview Dental Care PLLC
• Crestview HCC LLC
• Crestview Health and Wellness Center LLC
• Crestview Hospital Company LLC (Crestview Surgery Center)
• Crestview Hospital Company LLC

• Community/Retail Pharmacy in Crestview, FL
• Providers in Crestview, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.