Active NPI
Crossville Drugs Inc.
- Community/Retail Pharmacy
- Crossville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25 02907
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James A Gardner, RPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141107001517 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092937961 | Practice locations: Crossville, AL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2098960 | Crossville Discount Drugs LLC | Certificate of waiver | Jul 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Crossville, AL
- NPI 1962530279
-
- Pharmacist
- Crossville, AL
- NPI 1538761549
-
- Pharmacist
- Crossville, AL
- NPI 1841892866
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
- Act Now, LLC
- Denise Davis Allen, RPH
- Marsha Malena Bearden, RN, IBCLC, RLC
- Jose Yoni Calderon Reyes
- Crossville Chiropractic Health Center
- Crossville Health and Rehabilitation LLC
- Crossville Health Realty, LLC (Crossville Health & Rehabilitation, LLC)
- James Alan Gardner, RPH
- Jessica Lucas Gonzalez, MSN, CRNP, FNP-C
- Harbor Haven LLC
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.