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Crystal Pharmacy

NPI 1710765821ActiveOrganization· Pharmacy, Community/Retail Pharmacy· Raton, NM

Pharmacy, Community/Retail Pharmacy in Raton, New Mexico, registered in NPPES in September 2023. The authorized official on file is Charles Emmanuel Barkley, RPH, Pharmacist In Charge. Enrolled in Medicare as part b supplier - pharmacy.

Overview

NPI1710765821
StatusActive
Entity typeOrganization
NPI issuedSep 19, 2023
Last updated in NPPESAug 14, 2025
Certified by providerAug 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy, Community/Retail Pharmacy Primary3336C0003X——
Pharmacy333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Pharmacy (NM)

Medicare sources and data years

Other retail pharmacies in Raton

All retail pharmacies in New Mexico