Active NPI
Susan Candace Cruickshank, PHARMD
- Pharmacist
- Louisville, CO
National Provider Identifier
1922579465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0022525
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871538892 | Other | CO | STORE NPI |
| 1487680062 | Other | CO | STORE NPI |
| 1730116260 | Other | CO | STORE NPI |
| 1003843533 | Other | CO | STORE NPI |
| 1205871977 | Other | CO | STORE NPI |
| 1477589943 | Other | CO | STORE NPI |
| 1962959569 | Other | CO | STORE NPI |
| 1326083098 | Other | CO | STORE NPI |
| 1437187523 | Other | CO | STORE NPI |
Other names 1
- Lily Cruickshank
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0022525 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | 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.
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
-
- Community/Retail Pharmacy
- Louisville, CO
- NPI 1326083098
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.