CRYSTAL GOODLANDER (NPI# 1356998058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356998058 |
| Entity Type | Individual |
| Full Name | CRYSTAL GOODLANDER |
| Practice Address |
2272 N Main St Crown Point IN 46307-1802 |
| Practice Telephone | 2196615601 |
| Mailing Telephone | 2196615601 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26024515A | IN | Pharmacy Service Providers |
| Street Address |
2272 N MAIN ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073617924 | Hook Superx LLC | Pharmacy | 2272 N Main St, Crown Point, IN 46307-1802 | 2006-09-12 |
| 1508495177 | Anthony P Labriola | Pharmacist | 2272 N Main St, Crown Point, IN 46307-1802 | 2020-04-06 |
| 1679112809 | Tricia Diane Kustric X | Pharmacist | 2272 N Main St, Crown Point, IN 46307-1802 | 2020-01-06 |
| 1407402001 | Alexander Kubat | Pharmacist | 2272 N Main St, Crown Point, IN 46307-1802 | 2019-08-11 |
| 1063910750 | Amy Renae Philipps | Nurse Practitioner | 2272 N Main St, Crown Point, IN 46307-1802 | 2018-01-27 |
| 1740651611 | Robyn Mulvihill | Nurse Practitioner | 2272 N Main St, Crown Point, IN 46307-1802 | 2015-10-16 |
| 1487098935 | Victoria Barajas | Nurse Practitioner | 2272 N Main St, Crown Point, IN 46307-1802 | 2013-04-25 |
| 1487990230 | Jacquelyn Raquel Franzen | Nurse Practitioner | 2272 N Main St, Crown Point, IN 46307-1802 | 2012-12-26 |
| 1578831038 | Noreen M Ogden | Nurse Practitioner | 2272 N Main St, Crown Point, IN 46307-1802 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1386027597 | Christine Hall | Pharmacist | 2052 Hidden Valley Dr, Crown Point, IN 46307-9331 | 2015-07-07 |
| 1083983076 | James Denton | Pharmacist | 1520 S. Court Street, Crown Point, IN 46307 | 2011-12-20 |
| 1518236801 | James M Blanco | Pharmacist | 10732 Martinique Ln, Crown Point, IN 46307-9448 | 2011-12-15 |
| 1548546633 | Thomas N Barnett | Pharmacist | 9915 Monroe St, Crown Point, IN 46307-5445 | 2011-11-02 |
| 1194009381 | Andrew J Kasianchuk | Pharmacist | 651 Harvest Ct, Crown Point, IN 46307-2954 | 2011-10-05 |
| 1972885887 | Teresa M Andrade | Pharmacist | 5096 E 105th Ln, Crown Point, IN 46307-7610 | 2011-09-16 |
| 1023116902 | James Sluis | Pharmacist | Adam Benjamin Jr. Outpatient Clinic, 9300 South Broadway, Crown Point, IN 46307 | 2006-09-21 |
| 1265030480 | Jessica Marie Perez | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2020-10-09 |
| 1790392744 | Gregory Scott Bowers | Pharmacist | 9301 Madison St, Crown Point, IN 46307-7745 | 2020-09-24 |
| 1750997649 | Elizabeth Davidson | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2020-09-16 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on CRYSTAL GOODLANDER.
| 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.