Crossroads Care Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Bainbridge, IN
NPI 1003332495 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1003332495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CROSSROADS CARE PHARMACY LLC
- Practice address
- 209 East Pat Rady Way
Suite B
Bainbridge, IN 46105 - Phone
- (765) 522-4300
- Fax
- (765) 522-4303
- NPI assigned
- Aug 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amanda Louise Laney
- Title
- Owner, Member
- Phone
- (765) 720-2569
Practitioners 2
-
Benjamin J Laney, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180913002308 | IN | Part B Supplier - Mass Immunization (Roster Biller Only) | 6901172733 | Practice locations: Bainbridge, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
209 East Pat Rady Way
Suite B
Bainbridge, IN 46105
Mailing address
6176 S County Road 250 E
Greencastle, IN 46135-8728
Phone (765) 795-7611
Other practice location 1
509 East Pat Rady Way
Suite B
Bainbridge, IN 46105
Phone (765) 522-4300
Other providers in Bainbridge, IN
- Lori Kaye Armold
- Kara Jean Armstrong
- Kelli M Burress
- Ellese Cox
- Kelsey Brooke Elliott
- Dawn E Fairburn
- Joyce A. Heald
- Hearing Services, Inc
- Hendricks County Hospital
All providers in Bainbridge, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.