CROSSROADS PHARMACY (NPI# 1104961739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104961739 |
| Entity Type | Organization |
| Organization Name | CROSSROADS PHARMACY |
| Other Organization Name | CROSSROADS PHARMACY |
| Practice Address |
3123 Plateau Rd Newton NC 28658-8900 |
| Practice Telephone | 7042761078 |
| Practice Fax Number | 7042761079 |
| Mailing Telephone | 7042761078 |
| Mailing Fax Number | 7042761079 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-05-20 |
| Authorized Official Name | WILLIAM LONG (PHARMACIST) |
| Authorized Official Telephone | 7042761078 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
08174 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0186215 | 05 | |
| PK | 2069498 | 01 |
| Other Name | Type Code |
|---|---|
| CROSSROADS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184937286 | Crossroads Pharmacy | Pharmacy | 3220 Gus Thomasson Rd Ste 237, Mesquite, TX 75150-4051 | 2010-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | CROSSROADS PHARMACY | 84 Pine St, Burlington, VT 05402 |
| Street Address |
3123 PLATEAU RD |
| City | NEWTON |
| State | NC |
| Zip Code | 28658-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831473776 | Susanne Edwards Easley | Pharmacist | 3123 Plateau Rd, Newton, NC 28658-8900 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427024 | Healthstat Onsite Clinic Mccreary Modern Plant 4 | Preventive Medicine | 3483 Saint James Church Road, Newton, NC 28658 | 2020-04-29 |
| 1578977179 | Endeavors Pediatric Therapy Services, LLC | Occupational Therapist | Mt Olive Church Rd, Newton, NC 28658 | 2014-06-12 |
| 1033428289 | Homefirst Healthcare Services, LLC | Home Infusion | 805 W. 25th Street, Newton, NC 28658 | 2010-10-05 |
| 1184959330 | The Mental Health Fund Inc | Community Based Residential Treatment Facility, Mental Illness | 120b West D Street, Newton, NC 28658 | 2009-10-06 |
| 1003957531 | Lynn Isenhower Mullinax | Counselor | 22 South Main Avenue, Newton, NC 28658 | 2007-02-09 |
| 1588723852 | Frank Alan Younce | Occupational Therapist | 1897 Wellington Ave, Newton, NC 28658 | 2006-12-06 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| 1174566376 | Clifton Wade Pernell | Dentist | 430 West 20th Street, Newton, NC 28658 | 2006-06-14 |
| 1093777120 | Pendleton Glass Waldron | Dentist | 430 West 20th St, Newton, NC 28658 | 2006-04-04 |
| 1336144377 | Elizabeth M Owens | Physician Assistant | 3975 Robinson Rd, Newton, NC 28658 | 2005-06-16 |
| Find all providers in zip 28658 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038485 | Quinn's Family Pharmacy of Newton | Pharmacy | 193 Northside Dr, Newton, MS 39345-9523 | 2020-09-22 |
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1154848273 | Grx Holdings, LLC | Pharmacy | 400 1st Ave. W, Newton, IA 50208 | 2017-08-29 |
| 1366876005 | Rogers Fox Group Inc | Pharmacy | 416 Watertown St, Newton, MA 02458-1121 | 2013-08-29 |
| 1043533748 | Walgreen Co | Pharmacy | 126 Water St, Newton, NJ 07860 | 2010-03-09 |
| 1497894034 | Ronetco Supermarket Inc | Pharmacy | Route 206, Newton, NJ 07860 | 2007-02-06 |
| 1477656155 | North Carolina Cvs Pharmacy LLC | Pharmacy | 36 Northwest Blvd, Newton, NC 28658-3900 | 2006-09-07 |
| 1750496782 | Ladonna Poehler LLC | Pharmacy | 600 W Jourdan St, Newton, IL 62448-1056 | 2006-08-20 |
| 1023054020 | Hy Vee Inc | Pharmacy | 1207 1st Ave E, Newton, IA 50208-4002 | 2006-06-20 |
| 1043830086 | Apotheco Pharmacy Newton LLC | Pharmacy | 71 Needham St, Newton, MA 02461-1663 | 2020-04-20 |
| Find all providers in NEWTON | ||||
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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.