TCP1, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2005000826 Issued in MO

Legal business name

TCP1, LLC

Doing business as

The Corner Pharmacy

Practice address

12266 Depaul Drive
Suite 105
Bridgeton, MO 63044

Phone

(314) 344-7567

Fax

(314) 344-7179

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Phil Worrell, RPH

Title

Dir of PHRM

Phone

(314) 567-7994

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE CORNER PHARMACY Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1013069368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N NEW BALLAS RD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416715",
            "telephone_number": "314-567-7994",
            "fax_number": "314-567-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DEPAUL DRIVE",
            "address_2": "SUITE 105",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "63044",
            "telephone_number": "314-344-7567",
            "fax_number": "314-344-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCP1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "DIR OF PHRM",
        "authorized_official_telephone_number": "314-567-7994",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2005000826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606172302",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2635867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tausif Hasan Talukder
• Cora Abigail Taylor, LPC
• Elizabeth Taylor
• Lizzy A Taylor, ANP
• Engin Taysi, M.D.
• Gemma L Tedeschi, OTR/L
• Lisa K. Tenhouse, MSW
• Clarice Tennessen-Jensen, PHARMD
• Durwood Alan Tenny, OTR/L
• Sally Terranova, LMSW

• Community/Retail Pharmacy in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.