CRYSTAL M. FELICE (NPI# 1073041307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073041307 |
| Entity Type | Individual |
| Full Name | CRYSTAL M. FELICE |
| Practice Address |
821 S Main St Myrtle Creek OR 97457-9334 |
| Mailing Address |
1539 Ne Stephens St Roseburg OR 97470-1563 |
| Practice Telephone | 5418636383 |
| Practice Fax Number | 5418636023 |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0016283 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0016283 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1539 Ne Stephens St, Roseburg, OR 974701563 | 5419572540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780815357 | Crystal Felice | Durable Medical Equipment & Medical Supplies | 6501 Wyoming Blvd Ne, Building I Suite 3, Albuquerque, NM 87109-3932 | 2009-07-30 |
| Street Address |
821 S MAIN ST |
| City | MYRTLE CREEK |
| State | OR |
| Zip Code | 97457-9334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295263226 | Joseph Laduke | Pharmacist | 821 S Main St, Myrtle Creek, OR 97457 | 2017-06-03 |
| 1326477837 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 821 S Main St, Myrtle Creek, OR 97457-9334 | 2013-11-05 |
| 1326391012 | Laird Black | Pharmacist | 821 S Main St, Myrtle Creek, OR 97457-9334 | 2012-10-18 |
| 1487904264 | Emily Savage | Pharmacist | 821 S Main St, Myrtle Creek, OR 97457-9334 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629542626 | Reva Jeanne Whitson | Massage Therapist | 837 N Main St., Myrtle Creek, OR 97457 | 2019-01-14 |
| 1235619578 | Mark Francis Kleinschmidt | Massage Therapist | 213 S.pacific Hwy., St. 101, Myrtle Creek, OR 97457 | 2018-08-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1356504443 | Jd Tucker Rohm | Chiropractor | 213 So. Old Pacific Highway, Suite 101, Myrtle Creek, OR 97457 | 2008-07-08 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1952529810 | Jackie J Sochin | Nurse Practitioner | 790 S. Main, Myrtle Creek, OR 97457 | 2007-04-23 |
| 1255480786 | James A. Lawson Jr. | Dentist | 434 N. E. 2nd St., Myrtle Creek, OR 97457 | 2007-01-10 |
| 1194809921 | Kenneth Lee Mills | Dentist | 244 Ne Division, Myrtle Creek, OR 97457 | 2006-10-25 |
| 1164516365 | Jaime Francisco Serranzana | General Practice | 925 Nw Pacific Hwy, Myrtle Creek, OR 97457 | 2006-10-03 |
| 1407968472 | Lynn E Goodwin | Optometrist | 425 N Main, Myrtle Creek, OR 97457 | 2006-08-31 |
| Find all providers in zip 97457 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE CREEK |
| Zip Code | 97457 |
Please comment or provide details below to improve the information on CRYSTAL M. FELICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.