Crestview Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

27870 Issued in TX

Legal business name

CRESTVIEW PHARMACY LLC

Practice address

7100 Woodrow Ave
Austin, TX 78757-1802

Phone

(512) 452-9535

Fax

(512) 452-9583

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Jerry Harper

Title

Mr

Phone

(512) 452-9535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crestview Pharmacy Doing business as

Tax ID family

Crestview Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Crestview Pharmacy, LLC

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1184744344
  NPD tax ID

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1962778738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WOODROW AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571802",
            "telephone_number": "512-452-9535",
            "fax_number": "512-452-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WOODROW AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571802",
            "telephone_number": "512-452-9535",
            "fax_number": "512-452-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MR",
        "authorized_official_telephone_number": "512-452-9535"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5905508",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crestview Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Louise Cremona, LCSW
• Kelsey Crenshaw
• Sherri Crespin
• Natalia Patricia Crespo- Navar, OTD, OTR
• Amber Cress, LPC-A
• Crestview Pharmacy, LLC
• James Senter Creswell, M. D.
• Karen Ann Cretini, CRNA
• Caroline Crichlow-Ball, PHD
• Nathaniel James Crider, M.D.

• Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.