Crossroads Pharma LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CROSSROADS PHARMA LLC

Practice address

1919 Wirt Rd Ste B
Houston, TX 77055-2405

Phone

(713) 640-5236

Fax

(281) 791-0376

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Kasim Patel

Title

Owner

Phone

(713) 815-0724

Specialties & licenses 1

Addresses

Other names 1

• Crossroads RX Doing business as

Locations

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1568084002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 WIRT RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552405",
            "telephone_number": "713-640-5236",
            "fax_number": "281-791-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 WIRT RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770552405",
            "telephone_number": "713-640-5236",
            "fax_number": "281-791-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PHARMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KASIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-815-0724"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Crossway Pharmacy LLC
• Emma Crotty, MC MCH BAO
• Kathryn Ann Crouch Peterman
• Carter Craig Crouch, M.D.
• Mitchell Degrazier Crouch

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.