NPIMap

Organization Active NPI

Crisis Control Ministry Inc

Doing business as Crisis Control Ministry Pharmacy

  • Community/Retail Pharmacy
  • Winston Salem, NC
National Provider Identifier
1205261146
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04726 Issued in NC
Legal business name
CRISIS CONTROL MINISTRY INC
Doing business as
Crisis Control Ministry Pharmacy
Practice address
200 E 10TH St
Winston Salem, NC 27101-1512
Phone
(336) 770-1628
Fax
(336) 770-1630
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Catherine CraigwilderNPI 1659659787
Title
Pharmacy Manager
Phone
(336) 770-1628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 04726 NC Primary

Addresses

Primary practice location

200 E 10TH St
Winston Salem, NC 27101-1512

Mailing address

200 East 10TH Streer
Winston Salem, NC 27101
Phone (336) 770-1628

Other identifiers 1

IdentifierTypeStateIssuer
2177135OtherPK

Other names 1

  • Crisis Control Ministry Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

200 E 10th St
Winston Salem, NC 27101
Phone (336) 770-1628

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1205261146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST 10TH STREER",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27101",
            "telephone_number": "336-770-1628",
            "fax_number": "336-770-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 10TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011512",
            "telephone_number": "336-770-1628",
            "fax_number": "336-770-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS CONTROL MINISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "CRAIGWILDER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "336-770-1628"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crisis Control Ministry Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crisis Control Ministry Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.