Organization Active NPI

CRX, Inc.

  • Community/Retail Pharmacy
  • Whiteville, NC
National Provider Identifier
1821574682
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13792 Issued in NC
Legal business name
CRX, INC.
Practice address
20 Whiteville Town Ctr
Whiteville, NC 28472
Phone
(910) 207-6369
Fax
(910) 445-0240
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Dr. Mickey Dean Worthington, RPHNPI 1386180248
Title
Pharmacist/Co-Owner
Phone
(910) 207-1404

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13792 NC Primary

Addresses

Primary practice location

20 Whiteville Town Ctr
Whiteville, NC 28472

Mailing address

20 Whiteville Town Ctr
Whiteville, NC 28472-4401
Phone (910) 207-6369

Other names 1

  • Crossroads Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181126000906 NC Part B Supplier - Mass Immunization (Roster Biller Only) 0749534055 Practice locations: Whiteville, NC
O20181214001948 NC DME Supplier - Pharmacy 0749534055 Practice locations: Whiteville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2205225Crossroads Pharmacy20 Whiteville Towne Ctr, Whiteville, NC 28472Certificate of waiverDec 13, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
CRX Inc20 Whiteville Town Ctr, Whiteville, NC 28472-4401(910) 207-6369 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 28, 2018

National Provider Directory

National Provider Directory

Locations

20 Whiteville Town Ctr
Whiteville, NC 28472
Phone (910) 207-6369

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1821574682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WHITEVILLE TOWN CTR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724401",
            "telephone_number": "910-207-6369",
            "fax_number": "910-445-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WHITEVILLE TOWN CTR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "28472",
            "telephone_number": "910-207-6369",
            "fax_number": "910-445-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PHARMACIST/CO-OWNER",
        "authorized_official_telephone_number": "910-207-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.

Verify at the official NPI Registry.