SUSAN CANDACE CRUICKSHANK (NPI# 1922579465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922579465 |
| Entity Type | Individual |
| Full Name | SUSAN CANDACE CRUICKSHANK |
| Other Name | LILY CRUICKSHANK |
| Credential | PHARMD |
| Practice Address |
16453 Alcott Pl Broomfield CO 80023-8920 |
| Practice Telephone | 7209895770 |
| Mailing Telephone | 7209895770 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0022525 | CO | Pharmacy Service Providers |
| Street Address |
16453 ALCOTT PL |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80023-8920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793803 | Alexis Marie Gerry | Dentist | 13606 Xavier Lane Suite B, Broomfield, CO 80023 | 2020-09-04 |
| 1023646973 | Jonathan Michael Dill | Student in an Organized Health Care Education/Training Program | 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 | 2020-03-27 |
| 1821624594 | Kelley Stephenson | Social Worker | 469 Co-7, Broomfield, CO 80023 | 2020-03-13 |
| 1205482031 | Visionary Eye Care, Pllc | Optometrist | 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 | 2019-08-16 |
| 1104387810 | Daniel Ojala | Student in an Organized Health Care Education/Training Program | 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 | 2019-03-26 |
| 1184102527 | Kristina Elizabeth Rainwater | Occupational Therapist | 3303 W 144th Ave #207, Broomfield, CO 80023 | 2018-07-28 |
| 1689122467 | Jane Vela | Physical Therapist | 14866 Falcon Drive, Broomfield, CO 80023 | 2016-09-21 |
| 1134573850 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 500 W 144th Ave Ste 200, Westminster, CO 80023 | 2016-04-19 |
| 1235541426 | Hearthside Dentistry | Dentist | 16578 N Washington St, Thornton, CO 80023 | 2014-05-22 |
| 1295168698 | Christina O Mcmillon Dentistry, Pllc | Dentist | 16578 North Washington St, Thornton, CO 80023 | 2013-08-21 |
| Find all providers in zip 80023 | ||||
| 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 |
|---|---|---|---|---|
| 1447776604 | James Cheang | Pharmacist | 557 Burbank St., Suite Q, Broomfield, CO 80219 | 2017-08-19 |
| 1285095521 | Ellen Balkema | Pharmacist | 557 Burbank St Unit Q, Broomfield, CO 80020-7118 | 2016-03-15 |
| 1821464504 | Andrew Michael Gonzales | Pharmacist | 9864 Iris St, Broomfield, CO 80021-4268 | 2015-08-17 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1073939229 | Mary E Kliewer | Pharmacist | 13456 Via Varra Unit 209, Broomfield, CO 80020-9027 | 2014-03-12 |
| 1407271083 | Shawn Mitchell Miller | Pharmacist | 223 Berthoud Trl, Broomfield, CO 80020-9677 | 2014-02-19 |
| 1114355401 | Brenda Ochylski | Pharmacist | 4947 Buffalo Grass Loop, Broomfield, CO 80023-4623 | 2013-10-23 |
| 1093158149 | Leminh P Nguyen | Pharmacist | 1150 Us Highway 287, Broomfield, CO 80020-7001 | 2013-04-08 |
| 1619245891 | James Richard Garcia | Pharmacist | 905 Mesa Ct, Broomfield, CO 80020-1834 | 2011-12-02 |
| 1629345210 | Jacqueline Wierimaa | Pharmacist | 570 Highway 287, Broomfield, CO 80020-1732 | 2011-11-26 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80023 |
Please comment or provide details below to improve the information on SUSAN CANDACE CRUICKSHANK.
| 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.