Active NPI
Joseph Sean Corgan, RPH
- Pharmacist
- Palm Coast, FL
National Provider Identifier
1003172339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS0018261
- Practice address
- 6 Florida Park Dr N
Palm Coast, FL 32137-3890 - Phone
- (386) 445-1212
- Fax
- (386) 446-5851
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS0018261 | FL | Primary |
Addresses
Primary practice location
6 Florida Park Dr N
Palm Coast, FL 32137-3890
Mailing address
3735 Corgan Rd
Deland, FL 32724-8206
Phone (386) 736-9745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0018261 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bunnell Pharmacy Inc | Current | Accepting new patients | |
| Home Care Pharmacy of Palm Coast Inc. | Current | Accepting new patients |
Locations
6 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 445-1212
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Bunnell, FL
- NPI 1194833822
-
- Community/Retail Pharmacy
- Palm Coast, FL
- NPI 1821013715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1003172339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3735 CORGAN RD",
"city": "DELAND",
"state": "FL",
"postal_code": "327248206",
"telephone_number": "386-736-9745",
"fax_number": "386-446-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 FLORIDA PARK DR N",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373890",
"telephone_number": "386-445-1212",
"fax_number": "386-446-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORGAN",
"first_name": "JOSEPH",
"middle_name": "SEAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0018261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.