CROSSROADS HEALTH SERVICES LLC (NPI# 1174997860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174997860 |
| Entity Type | Organization |
| Organization Name | CROSSROADS HEALTH SERVICES LLC |
| Other Organization Name | CROSSROADS PHARMACY |
| Practice Address |
4801 Dorsey Hall Dr Suite 120 Ellicott City MD 21042-7766 |
| Practice Telephone | 4435281010 |
| Mailing Telephone | 4435281010 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | MR. PRASAD MATTUPALLI (PHARMACIST) |
| Authorized Official Telephone | 4435281010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| crossroads pharmacy | Doing Business As Name - Organization |
| Street Address |
4801 DORSEY HALL DR SUITE 120 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485353 | James J Zalucki | Colon & Rectal Surgery | 4801 Dorsey Hall Dr, Ste 216, Ellicott City, MD 21042-7749 | 2005-05-27 |
| 1710422688 | Jamie Garonzik | Physician Assistant | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-12-30 |
| 1245683093 | Sara Cooper | Nutritionist | 4801 Dorsey Hall Dr, Ellicott City, MD 21042-7766 | 2016-07-18 |
| 1124433628 | Lifebridge Medical Associates, LLC | Internal Medicine | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2014-06-24 |
| 1285067017 | Lifebridge Community Physicians, Inc | Internal Medicine | 4801 Dorsey Hall Dr, Suite 220, Ellicott City, MD 21042-7766 | 2013-08-15 |
| 1447513684 | Crossroads Primary Care and Integrative Medicine | Clinic/Center | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2012-06-22 |
| 1386943314 | Jeff Brett Millison | Acupuncturist | 4801 Dorsey Hall Dr, Suite 212, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1225337264 | David Bart Arconti | Physician Assistant | 4801 Dorsey Hall Dr, Suite 226, Ellicott City, MD 21042-7766 | 2011-03-16 |
| 1891005484 | Joshua Alan Anderson | Physician Assistant | 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 | 2010-10-15 |
| 1295067015 | Advanced Imaging Partners,inc. | Radiologic Technologist | 4801 Dorsey Hall Dr, Suite 101, Ellicott City, MD 21042-7766 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| 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 |
|---|---|---|---|---|
| 1538501945 | Zean Pharmacy LLC | Pharmacy | 8801 Baltimore National Pike, Ste 11d, Ellicott City, MD 21043-4123 | 2013-07-26 |
| 1225132178 | Maryland Cvs Pharmacy LLC | Pharmacy | 3300a Centennial Ln, Ellicott City, MD 21042-3600 | 2006-09-12 |
| 1477937506 | Hana Pharmacy Ellicott City | Pharmacy | 3301 N Ridge Rd, Ellicott City, MD 21043-7500 | 2015-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174536 | Daily Care Pharmacy | Pharmacy | 167 Jennifer Rd Ste D, Annapolis, MD 21401-7910 | 2020-11-05 |
| 1053925693 | Universal Products and Services, LLC. | Pharmacy | 1810 Crain Hwy S Unit B, Glen Burnie, MD 21061-5505 | 2020-09-01 |
| 1235751470 | Complete Wellness Pharmacy LLC | Pharmacy | 5732 Buckeystown Pike Ste 24, Frederick, MD 21704-5180 | 2020-05-11 |
| 1336774363 | Padonia Village Pharmacy | Pharmacy | 17 E Padonia Rd, Lutherville Timonium, MD 21093-2306 | 2020-03-10 |
| 1881234904 | The Pharmacia | Pharmacy | 1809 Reisterstown Rd Ste 115, Pikesville, MD 21208-6329 | 2020-01-07 |
| 1184266355 | Kent Island Pharmacy, LLC | Pharmacy | 382 Thompson Creek Mall, Stevensville, MD 21666-2593 | 2019-10-09 |
| 1730720624 | Tidewater Drug and Health Care | Pharmacy | 30170 Three Notch Rd Unit B, Charlotte Hall, MD 20622-4119 | 2019-10-02 |
| 1598312654 | Alsbiz Group Inc. | Pharmacy | 602 Cherry Hill Rd, Baltimore, MD 21225-1229 | 2019-08-23 |
| 1356997407 | Well-rx LLC | Pharmacy | 10151 York Rd Ste 105-106, Cockeysville, MD 21030-3314 | 2019-08-14 |
| 1184277279 | The Pharmacy At, Inc | Pharmacy | 524 E Belvedere Ave Ste A, Baltimore, MD 21212-3701 | 2019-07-18 |
| Find all providers with the same taxonomy | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on CROSSROADS HEALTH SERVICES LLC.
| 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.