William E Crouch Jr., CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

360101060765236 Issued in AR

Practice address

4300 West 7TH Street
VA Medical Center ( Pharmacy 119/LR )
Little Rock, AR 72205

Phone

(501) 257-6335

Fax

(501) 257-5012

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1912295155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "CARLISLE",
            "state": "AR",
            "postal_code": "720241031",
            "telephone_number": "501-257-6335",
            "fax_number": "501-257-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WEST 7TH STREET",
            "address_2": "VA MEDICAL CENTER ( PHARMACY 119/LR )",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-257-6335",
            "fax_number": "501-257-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AR",
            "license": "360101060765236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Sian Cross, ANP
• Michael Scott Cross Jr., M.D.
• Bradley Ray Crossfield, D.D.S.
• Kent L. Croswell, M.D.
• Matthew Crouch
• Elaine Mitchell Crouse
• Kelsey Marie Crouse, OT
• Marcus A Crouther, MD
• Cathy C. Crow Henderson, AU.D.
• Abigail Lee Crow, DDS

• All providers in Little Rock, AR
• Pharmacy Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.