Active NPI
Chad Aaron Crosby, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Quil Ceda Village, WA
National Provider Identifier
1992042139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH00019297
- Practice address
- 8825 34TH Ave NE Ste a
Quil Ceda Village, WA 98271-8085 - Phone
- (360) 716-2660
- Fax
- (360) 716-3660
- NPI assigned
- Jan 8, 2013
- Last updated
- Jun 7, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | PH00019297 | WA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH00019297 | WA | Primary |
Addresses
Primary practice location
8825 34TH Ave NE Ste a
Quil Ceda Village, WA 98271-8085
Mailing address
8825 34TH Ave
Ste. a
Tulalip, WA 98271
Phone (360) 716-2660
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00019297 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulalip Clinical Pharmacy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tulalip, WA
- NPI 1619193570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1992042139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8825 34TH AVE",
"address_2": "STE. A",
"city": "TULALIP",
"state": "WA",
"postal_code": "98271",
"telephone_number": "360-716-2660",
"fax_number": "360-716-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 34TH AVE NE STE A",
"city": "QUIL CEDA VILLAGE",
"state": "WA",
"postal_code": "982718085",
"telephone_number": "360-716-2660",
"fax_number": "360-716-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "CHAD",
"middle_name": "AARON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-08",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "WA",
"license": "PH00019297",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH00019297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quil Ceda Village, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.