CROSSROADS PHARMACY (NPI# 1184937286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184937286 |
| Entity Type | Organization |
| Organization Name | CROSSROADS PHARMACY |
| Other Organization Name | CROSSROADS PHARMACY, LLC |
| Practice Address |
3220 Gus Thomasson Rd Ste 237 Mesquite TX 75150-4051 |
| Mailing Address |
Po Box 271402 Dallas TX 75227-9579 |
| Practice Telephone | 2143081963 |
| Practice Fax Number | 2144328274 |
| Mailing Telephone | 2143081963 |
| Mailing Fax Number | 2144328274 |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | O'RITA SIDDALL (PHARMACY MANAGER) |
| Authorized Official Telephone | 2143081963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
27009 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2126598 | 01 |
| Other Name | Type Code |
|---|---|
| CrossRoads Pharmacy, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104961739 | Crossroads Pharmacy | Pharmacy | 3123 Plateau Rd, Newton, NC 28658-8900 | 2007-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | CROSSROADS PHARMACY | 84 Pine St, Burlington, VT 05402 |
| Street Address |
3220 GUS THOMASSON RD STE 237 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75150-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
| 1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
| 1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
| 1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
| 1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| Find all providers in zip 75150 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217158 | Prime Healthcare Services Mesquite LLC | Pharmacy | 1011 N Galloway Ave # Cl120, Mesquite, TX 75149-2433 | 2020-02-13 |
| 1720548118 | Life Specialty Pharmacy, Inc. | Pharmacy | 949 W. Kearney St., Suite 107, Mesquite, TX 75149 | 2019-03-21 |
| 1104330059 | Pinnacle Absolute Care | Pharmacy | 114 N. Sandhill Blvd, Suite B, Mesquite, NV 89027 | 2017-11-29 |
| 1477819266 | Prodigious Industries LLC | Pharmacy | 502 W Kearney St Ste 900, Mesquite, TX 75149-3477 | 2012-04-05 |
| 1134412000 | Meridian Pharamcy Group At Galloway, Inc | Pharmacy | 2698 N Galloway Ave Ste 108, Mesquite, TX 75150-6390 | 2011-05-25 |
| 1356427819 | Rls Supermarkets LLC | Pharmacy | 4414 Gus Thomasson Rd, Mesquite, TX 75150-2232 | 2006-10-27 |
| 1477657278 | Cvs Pharmacy Inc | Pharmacy | 500 N Galloway Ave, Suite 2, Mesquite, TX 75149-3419 | 2006-09-12 |
| 1558376582 | Walgreen Co | Pharmacy | 4435 Gus Thomasson Rd, Mesquite, TX 75150-2231 | 2006-07-29 |
| 1083099485 | Paragon Specialty Pharmacy, LLC | Pharmacy | 2920 Motley Dr, Suite 800, Mesquite, TX 75150 | 2015-07-27 |
| 1871870204 | My Pharmacy | Pharmacy | 2920 Motley Dr, Suite 200, Mesquite, TX 75150-3471 | 2011-11-14 |
| Find all providers in MESQUITE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.