NPIMap

Organization Active NPI

Aday Enterprises Inc

Doing business as Crossroads Pharmacy

  • Community/Retail Pharmacy
  • Rogersville, AL
National Provider Identifier
1467531129
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112878 Issued in AL
Legal business name
ADAY ENTERPRISES INC
Doing business as
Crossroads Pharmacy
Practice address
2800 Highway 101
Rogersville, AL 35652-6046
Phone
(256) 247-5833
Fax
(256) 247-5834
NPI assigned
Nov 3, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Kenneth Aday Jr
Title
Owner/President/Pic/Ao
Phone
(256) 247-5833

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 112878 AL Primary

Addresses

Primary practice location

2800 Highway 101
Rogersville, AL 35652-6046

Mailing address

2800 Highway 101
Rogersville, AL 35652-6046
Phone (256) 247-5833

Other names 1

  • Crossroads Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151111001393 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8325269228 Practice locations: Rogersville, AL

National Provider Directory

National Provider Directory

Locations

2800 Highway 101
Rogersville, AL 35652
Phone (256) 247-5833

Practitioners & affiliated clinicians

Practitioners 4

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1467531129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 HIGHWAY 101",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356526046",
            "telephone_number": "256-247-5833",
            "fax_number": "256-247-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 HIGHWAY 101",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356526046",
            "telephone_number": "256-247-5833",
            "fax_number": "256-247-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAY ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "ADAY JR",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PIC/AO",
        "authorized_official_telephone_number": "256-247-5833"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.