Individual provider Active NPI

Susan Candace Cruickshank, PHARMD

  • Pharmacist
  • Louisville, CO
National Provider Identifier
1922579465
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0022525 Issued in CO
Practice address
1375 E South Boulder Rd
Louisville, CO 80027
Phone
(303) 673-1818
NPI assigned
Dec 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0022525 CO Primary

Addresses

Primary practice location

1375 E South Boulder Rd
Louisville, CO 80027

Mailing address

6567 W 96TH Dr
Westminster, CO 80021-5428
Phone (720) 989-5770

Other practice location 1

6567 W 96th Dr
Westminster, CO 80021-5428
Phone (720) 989-5770

Other identifiers 9

IdentifierTypeStateIssuer
1871538892OtherCOSTORE NPI
1487680062OtherCOSTORE NPI
1730116260OtherCOSTORE NPI
1003843533OtherCOSTORE NPI
1205871977OtherCOSTORE NPI
1477589943OtherCOSTORE NPI
1962959569OtherCOSTORE NPI
1326083098OtherCOSTORE NPI
1437187523OtherCOSTORE NPI

Other names 1

  • Lily Cruickshank Other name

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
0022525COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC PastSince Jan 15, 2023 Accepting new patients
Dillon Companies LLC PastSince Jan 15, 2023 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": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1922579465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 W 96TH DR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800215428",
            "telephone_number": "720-989-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E SOUTH BOULDER RD",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "80027",
            "telephone_number": "303-673-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6567 W 96th Dr",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800215428",
            "country_code": "US",
            "telephone_number": "720-989-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUICKSHANK",
        "first_name": "SUSAN",
        "middle_name": "CANDACE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0022525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1871538892",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1487680062",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1730116260",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1003843533",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1205871977",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1477589943",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1962959569",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1326083098",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STORE NPI",
            "identifier": "1437187523",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILY",
            "last_name": "CRUICKSHANK",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.