Active NPI
Julie Elizabeth Croshaw, PHARM D.
- Pharmacist
- Gresham, OR
National Provider Identifier
1932223880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0010446
- Practice address
- 2444 E Powell Blvd
Gresham, OR 97080 - Phone
- (034) 925-2675
- Fax
- (503) 492-5370
- NPI assigned
- Mar 18, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0010446 | OR | |
| Pharmacist | 183500000X | RPH-0010446 | OR | Primary |
Addresses
Primary practice location
2444 E Powell Blvd
Gresham, OR 97080
Mailing address
502 NW Mawrcrest PL
Gresham, OR 97030-5224
Phone (503) 667-0841
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 |
|---|---|---|---|
| RPH-0010446 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1932223880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 NW MAWRCREST PL",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305224",
"telephone_number": "503-667-0841",
"fax_number": "503-661-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2444 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97080",
"telephone_number": "034-925-2675",
"fax_number": "503-492-5370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSHAW",
"first_name": "JULIE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-18",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0010446",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0010446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.