DR. CRYSTAL D ROSE (NPI# 1417235201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417235201 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL D ROSE |
| Practice Address |
4630 Monticello Ave T-1161 Williamsburg VA 23188-8200 |
| Practice Telephone | 7575649835 |
| Mailing Telephone | 7575649835 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202207447 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417285420 | Crystal Louise Rose | Social Worker | 630 Quintana Rd, # 101, Morro Bay, CA 93442-1939 | 2009-12-02 |
| 1215983044 | Crystal S Rose | Physician Assistant | 280 Broad St Ste A, Kernersville, NC 27284 | 2006-05-25 |
| 1598208142 | Crystal Collette Rose | Massage Therapist | 2801 E Palmer Wasilla Hwy, Suite C, Wasilla, AK 99654-7339 | 2016-11-30 |
| 1518310838 | Crystal Rose | Pharmacist | 9200 Nw 39th Ave, Gainesville, FL 32606-7331 | 2016-07-21 |
| 1356621478 | Crystal Rose | Physician Assistant | 80 Seymour Street, Hartford Hospital Er Dept, Hartford, CT 06102-5037 | 2011-08-20 |
| 1184823106 | Crystal Lynn Rose | Pathology | 2501 Kentucky Ave, Paducah, KY 42003 | 2007-07-11 |
| Street Address |
4630 MONTICELLO AVE T-1161 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020601 | Virginia Cvs Pharmacy LLC | Pharmacy | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2006-07-24 |
| 1104362680 | Waldron Eyecare | Optometrist | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2017-01-09 |
| 1730551441 | Dr Susan Pietrowski, Optometrist LLC | Optometrist | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2015-10-21 |
| 1295119741 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2015-07-15 |
| 1659667582 | Marianne Brooks | Pharmacist | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2011-06-20 |
| 1780978031 | Karen Knust | Pharmacist | 4630 Monticello Ave, T-1161, Williamsburg, VA 23188-8200 | 2011-06-03 |
| 1083798391 | Laureen Goddard Waldron | Optometrist | 4630 Monticello Ave, Williamsburg, VA 23188-8200 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578812 | Heather Lerae Moore | Pharmacist | 589 Hwy West 92, Williamsburg, KY 407690 | 2020-11-04 |
| 1083178172 | Henry Kyle Ranger | Pharmacist | 4205 Cavendish Ct, Williamsburg, VA 23188-1468 | 2019-01-23 |
| 1548779010 | Jackson Layne Chappell | Pharmacist | 115 Norge Ln, Williamsburg, VA 23188-7230 | 2017-09-27 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1891148474 | Sarah Tucker | Pharmacist | 153 Allyson Dr, Williamsburg, VA 23188-1702 | 2016-07-19 |
| 1295197291 | Jean Logue | Pharmacist | 1303 Jamestown Rd Ste 11, Williamsburg, VA 23185-3407 | 2016-03-28 |
| 1215316724 | Kevin Bluxome | Pharmacist | 4419 Lydias Dr, Williamsburg, VA 23188-2823 | 2015-05-29 |
| 1992109516 | Justin Martin | Pharmacist | 5601 Richmond Rd, Williamsburg, VA 23188-1985 | 2014-10-09 |
| 1285044719 | Shawn Michael Husband | Pharmacist | 4900 M 72 E, Williamsburg, MI 49690-9455 | 2014-05-06 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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| 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.