Organization Active NPI

P 356 Enterprises, Inc

Doing business as Crossroads Pharmacy

  • Community/Retail Pharmacy
  • Oak Ridge, NC
National Provider Identifier
1841629672
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
P 356 ENTERPRISES, INC
Doing business as
Crossroads Pharmacy
Practice address
7605-B NC Hwy 68 N
Suite B
Oak Ridge, NC 27310
Phone
(336) 441-4041
Fax
(336) 441-4858
NPI assigned
Nov 2, 2013
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Mrs. April H Duggins, RPH.NPI 1912293895
Title
Owner
Phone
(336) 441-4041

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 NC Primary

Addresses

Primary practice location

7605-B NC Hwy 68 N
Suite B
Oak Ridge, NC 27310

Mailing address

7605-B NC Hwy 68 N
Suite B
Oak Ridge, NC 27310
Phone (336) 441-4858

Other names 1

  • Crossroads Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210315001687 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7517186836 Practice locations: Oak Ridge, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7605 NC Highway 68 N
Ste B
Oak Ridge, NC 27310
Phone (336) 441-4041

Practitioners & affiliated clinicians

Practitioners 2

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": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1841629672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605-B NC HWY 68 N",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "27310",
            "telephone_number": "336-441-4858",
            "fax_number": "336-441-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605-B NC HWY 68 N",
            "address_2": "SUITE B",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "27310",
            "telephone_number": "336-441-4041",
            "fax_number": "336-441-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P 356 ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "DUGGINS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-441-4041",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.