Cross Lanes Family Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552317 Issued in WV

Legal business name

CROSS LANES FAMILY PHARMACY INC

Doing business as

Cross Lanes Family Pharmacy

Practice address

107 Goff Mountain Rd
Cross Lanes, WV 25313-1430

Phone

(304) 204-2588

Fax

(304) 204-2591

NPI assigned

Sep 20, 2006

Last updated

Feb 20, 2017By 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

Brac Brown, RPH

Title

Pharmacist Sole Owner

Phone

(304) 204-2588

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CROSS LANES FAMILY PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1710084645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131430",
            "telephone_number": "304-204-2588",
            "fax_number": "304-204-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131430",
            "telephone_number": "304-204-2588",
            "fax_number": "304-204-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS LANES FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRAC",
        "authorized_official_title_or_position": "PHARMACIST SOLE OWNER",
        "authorized_official_telephone_number": "304-204-2588",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111559",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002984",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CROSS LANES FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Cottrell
• Michelle Cowley
• Steven Craig
• Toni Crank
• Shaijanae Crawford
• Cross Lanes Family Practice, Inc.
• Cross Lanes Family Practice, Inc. (Lab)
• Cross Lanes Internal Medicine Group Inc
• Ashley Ann Croushorn
• Alexa Cummings

• Community/Retail Pharmacy in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.