Organization Active NPI

Crossroads Pharmacy

  • Community/Retail Pharmacy
  • Newton, NC
National Provider Identifier
1104961739
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
08174 Issued in NC
Legal business name
CROSSROADS PHARMACY
Doing business as
Crossroads Pharmacy
Practice address
3123 Plateau Rd
Newton, NC 28658-8900
Phone
(704) 276-1078
Fax
(704) 276-1079
NPI assigned
Feb 21, 2007
Last updated
May 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Long, RPH
Title
Pharmacist
Phone
(704) 276-1078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 08174 NC Primary

Addresses

Primary practice location

3123 Plateau Rd
Newton, NC 28658-8900

Mailing address

3123 Plateau Rd
Newton, NC 28658-8900
Phone (704) 276-1078

Other identifiers 2

IdentifierTypeStateIssuer
2069498OtherPK
0186215MedicaidNC

Other names 1

  • CROSSROADS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3123 Plateau Rd
Newton, NC 28658
Phone (704) 276-1078

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1104961739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 PLATEAU RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588900",
            "telephone_number": "704-276-1078",
            "fax_number": "704-276-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 PLATEAU RD",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286588900",
            "telephone_number": "704-276-1078",
            "fax_number": "704-276-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "704-276-1078",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2069498",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186215",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSSROADS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.