Crossroads Apothecary, LLC.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CROSSROADS APOTHECARY, LLC.

Practice address

4801 Dorsey Hall Dr Ste 210
Ellicott City, MD 21042-7749

Phone

(410) 992-4747

NPI assigned

Dec 17, 2021

Last updated

Dec 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren M Ross, MD

Title

Owner

Phone

(410) 992-4747

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1700546785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 210",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427749",
            "telephone_number": "410-992-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 DORSEY HALL DR STE 210",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427749",
            "telephone_number": "410-992-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS APOTHECARY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-992-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "secure.gethealthie.com",
            "affiliation": "N",
            "endpointDescription": "Healthie Medical Platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4801 Dorsey Hall Dr Ste 210",
            "city": "Ellicott City",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210427749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Craig, CRNP
• Rhea Craigen, MD
• Katurah Cramer
• Sarah Cremins
• Ivan Croft
• Crossroads Health Services (Crossroads Pharmacy)
• Crossroads Medical Associates, LLC
• Crossroads Primary Care and Integrative Medicine
• Kiersten Crowley
• Elizabeth Houston Crump, LCSW C

• Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.