CROSSROADS TREATMENT CENTER OF COLUMBIA (NPI# 1689950636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689950636 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF COLUMBIA |
| Other Organization Name | CROSSROADS TREATMENT CENTER OF COLUMBIA |
| Practice Address |
1421 Bluff Rd Columbia SC 29201-4809 |
| Practice Telephone | 8037335855 |
| Practice Fax Number | 8037335892 |
| Mailing Telephone | 8037335855 |
| Mailing Fax Number | 8037335892 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | SCOTT MILLER (PHARMACIST) |
| Authorized Official Telephone | 8037335855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
13238 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4230431 | 01 |
| Other Name | Type Code |
|---|---|
| Crossroads Treatment Center of Columbia | Doing Business As Name - Organization |
| Street Address |
1421 BLUFF RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29201-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971836 | Shelly Chaplin | Counselor | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2020-10-28 |
| 1568061034 | Shenetra Harbour | Registered Nurse | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2020-10-25 |
| 1417562182 | James Inyangetor | Pharmacist | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2020-09-10 |
| 1538784590 | Coleen Louise Murray | Registered Nurse | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2020-06-15 |
| 1164068771 | Rosalyn Iola Harris | Licensed Vocational Nurse | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2019-11-19 |
| 1548813843 | Demetrius Delores Livingston | Licensed Practical Nurse | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2019-07-17 |
| 1952814840 | Marcie Booker | Counselor | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2017-11-14 |
| 1891208955 | Latasha Frazier | Counselor | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2017-11-13 |
| 1386157428 | Karrie Allen | Counselor | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2017-11-12 |
| 1912410051 | Brittney Brown | Counselor | 1421 Bluff Rd, Columbia, SC 29201-4809 | 2017-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049421 | Souzan Moslehshirazi | Behavior Technician | 1320 Main Street Suite 300, Colombia, SC 29201 | 2020-10-02 |
| 1295353936 | Kayla Faylyn Nicole Mckenzie | Specialist/Technologist | 1905 Southern Drive, Unit 1905a, Columbia, SC 29201 | 2020-07-09 |
| 1548887128 | Casania's Caring Hands,llc | Home Health Aide | 1113 Belleview Street, 105, Columbia, SC 29201 | 2020-06-30 |
| 1639719909 | Benjamin Clark Watson | Acupuncturist | 1825 Sumter St., Columbia, SC 29201 | 2020-01-14 |
| 1588217574 | Aneika Daley | Specialist/Technologist | 1211 Wheat St, Columbia, SC 29201 | 2019-07-19 |
| 1447803531 | Gillian Taylor Shaughnessy | Specialist/Technologist | 147 South Marion St, Columbia, SC 29201 | 2019-07-18 |
| 1417417619 | Maria Nelson | Behavior Technician | 320 Main St Suite 300, Columbia, SC 29201 | 2019-03-22 |
| 1679041297 | Nathaniel Carl Stocker | Nurse Practitioner | 1614 Main Street, Suite C, Sc House Calls Inc, Columbia, SC 29201 | 2018-11-13 |
| 1558852855 | The Practice | Family Medicine | 1910 Gregg Street, Columbia, SC 29201 | 2018-05-22 |
| 1871095836 | Kadesjah Samuels | Behavior Technician | 1320 Main Street, Suite 300, Columbia, SC 29201 | 2018-03-06 |
| Find all providers in zip 29201 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1346696572 | Burrell, Inc. | Pharmacy | 3401 Berrywood Dr, Suite 102, Columbia, MO 65201-6515 | 2016-05-06 |
| 1043531791 | Sequon, Inc. | Pharmacy | 9030 Route 108, Columbia, MD 21045-1990 | 2010-06-17 |
| 1881707537 | State of Tennessee | Pharmacy | 1216 Trotwood Ave, Columbia, TN 38401-6406 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003371386 | Tandem Health Sc | Pharmacy | 368 S Pike W, Sumter, SC 29150-2664 | 2019-01-31 |
| 1962805291 | Palmetto Carolina Treatment Center, LLC | Pharmacy | 325 Inglesby Pkwy Unit F, Duncan, SC 29334-9117 | 2014-10-01 |
| 1215338058 | Trust Concierge Pharmaceuticals LLC | Pharmacy | 4999 Carolina Forest Blvd Ste 13, Myrtle Beach, SC 29579-3587 | 2014-09-11 |
| 1447584115 | Kerr Health, LLC | Pharmacy | 5060 International Blvd Ste 102, Charleston, SC 29418-6008 | 2009-09-28 |
| 1184844458 | Greenwood Family Practice Inc | Pharmacy | 1226 Spring St, Greenwood, SC 29646-3835 | 2007-04-27 |
| 1619032034 | Recovery Concepts of Carolina Upst LLC | Pharmacy | 1653 E Main St, Easley, SC 29640-3791 | 2006-12-26 |
| 1568544591 | Community Medical Center | Pharmacy | 10278 Old #6 Highway, Vance, SC 29163 | 2006-10-19 |
| 1295840148 | Medical University of Sc | Pharmacy | 650 Ellis Oak Dr Rm 119, Charleston, SC 29412-3089 | 2006-08-20 |
| 1760596746 | Recovery Concepts LLC | Pharmacy | 124 Boardwalk Dr Ste A, Ridgeland, SC 29936-7994 | 2006-08-18 |
| 1467466300 | B-j-h Comp. Health Services | Pharmacy | 552 Stiney Rd, Hardeeville, SC 29927 | 2006-07-28 |
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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.