The Corner Drugstore Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

042894 Issued in MO

Legal business name

THE CORNER DRUGSTORE INC

Practice address

1251 Wentzville Pkwy
Wentzville, MO 63385-3749

Phone

(636) 887-4399

Fax

(636) 887-4371

NPI assigned

Nov 17, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerald W Roberts, RPH

Title

President

Phone

(636) 946-6557

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• STANDARD DRUG #10 Other name

Tax ID family

Standard Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Corner Drugstore Inc

  dba Standard Drug

  • Community/Retail Pharmacy
  • Saint Charles, MO
  • NPI 1902989809
  NPD tax ID

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1033283502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853749",
            "telephone_number": "636-887-4399",
            "fax_number": "636-887-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853749",
            "telephone_number": "636-887-4399",
            "fax_number": "636-887-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNER DRUGSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-946-6557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "042894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2006035983",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TAX ID",
            "identifier": "11478594",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANDARD DRUG #10",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Lee Templeton
• Keri M Teter, LPC
• Jonathan Tyler Thayer, OD
• The Child Advocacy Center of Northeast Mo
• The Child Center, Inc
• Gina Bertini Theisen, FNP-C
• Brooke Marie Theodorakos, MS, RD, LD
• Susan K Thessen, P.T.
• Thomas C. Delaney DMD PC
• Tamika D Thompson

• Pharmacy in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.