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Dr. Crystal Latrice Champion-Kendricks , PharmD

Pharmacist β€’ Stafford, TX

Active NPI 1598092967 Individual Practitioner Female Practitioner
Practice location in NPPES

11104 W Airport Blvd Ste 214
Stafford, TX 774773197

Call 7137776251 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11104 W Airport Blvd Ste 214

Stafford, TX 774773197

Telephone 7137776251
Fax 9039230661
Organization at the Same NPPES Address or Phone
Bellaire Pharmacy, Llc Facility NPI 1699948604

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Stafford and Texas

46 active clinicians are listed under Pharmacist with a practice address in Stafford, TX (18,902 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Stafford

0% of these 46 clinicians have the CMS telehealth indicator.

0% of these 46 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES TX 041510

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 24, 2023

Registered at 11104 W AIRPORT BLVD STE 214, STAFFORD, TX 774773197 (Tel: 7137776251)

πŸ“
Updated Business Mailing Address January 24, 2023

Registered at 11104 W AIRPORT BLVD STE 214, STAFFORD, TX 774773197 (Tel: 7137776251)

βœ…
NPI Profile Active November 05, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 05, 2009

Registered at 309 E END BLVD N, MARSHALL, TX 756703605 (Tel: 9039230605)

πŸ“
Business Mailing Address (Initial Record) November 05, 2009

Registered at 309 E END BLVD N, MARSHALL, TX 756703605 (Tel: 9039230605)

πŸ‘€
Provider Name / Credentials (Initial Record) November 05, 2009

Recorded as CRYSTAL CHAMPION-KENDRICKS, PHARM D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2009

Pharmacist (license number reported to NPPES: TX 041510)

🟒
Initial NPI Registration & Enumeration November 05, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1598092967
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2009
Last Update: January 24, 2023
Sole Proprietor: Yes

Mailing Address

11104 W Airport Blvd Ste 214

Stafford, TX 774773197

Phone: 7137776251

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.