Corner Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORNER DRUG STORE

Practice address

27 Reynolds St
Springhill, LA 71075-3241

Phone

(318) 539-3199

Fax

(318) 539-3197

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

James Daniel Duck

Title

Manager

Phone

(318) 539-3199

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• THE CORNER DRUG STORE Doing business as

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1063705408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N ARKANSAS ST",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710752602",
            "telephone_number": "318-539-3199",
            "fax_number": "318-539-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 REYNOLDS ST",
            "city": "SPRINGHILL",
            "state": "LA",
            "postal_code": "710753241",
            "telephone_number": "318-539-3199",
            "fax_number": "318-539-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-539-3199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2129743",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187472407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2200836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE CORNER DRUG STORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zinda Bush
• Ayana Bonton Carter
• Tommie Ann Cassidy, NP
• Shelby Chesshir, PHARM.D.
• Harvey Lynn Cole
• Corner Stone Emergency Physicians, LLC
• Cplace of Springhill SNF, LLC
• Kenneth Lance Davenport, APRN
• Lisa Davis
• Dorcheat Emergency Physicians LLC

• All providers in Springhill, LA
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.