Organization Active NPI

Crossville Drugs Inc.

  • Community/Retail Pharmacy
  • Crossville, AL
National Provider Identifier
1457475444
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25 02907 Issued in AL
Legal business name
CROSSVILLE DRUGS INC.
Practice address
15192 Al Highway 68
Crossville, AL 35962-3452
Phone
(256) 528-7124
NPI assigned
Mar 17, 2007
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
James A Gardner, RPHNPI 1962530279
Title
Pharmacist
Phone
(256) 528-7124

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25 02907 AL Primary

Addresses

Primary practice location

15192 Al Highway 68
Crossville, AL 35962-3452

Mailing address

PO Box 37
Crossville, AL 35962-0037
Phone (256) 528-7124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141107001517 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5092937961 Practice locations: Crossville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2098960Crossville Discount Drugs LLC15192 Al Highway 68, Crossville, AL 35962Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

15192 AL Highway 68
Crossville, AL 35962
Phone (256) 528-7124

Practitioners & affiliated clinicians

Practitioners 3

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": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1457475444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "359620037",
            "telephone_number": "256-528-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15192 AL HIGHWAY 68",
            "city": "CROSSVILLE",
            "state": "AL",
            "postal_code": "359623452",
            "telephone_number": "256-528-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE DRUGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-528-7124",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "25 02907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.