Organization Active NPI

Corner Drug & Gift, Inc

Doing business as LTC Corner Drug & Gift, Inc

  • Long Term Care Pharmacy
  • Downs, KS
National Provider Identifier
1104469345
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CORNER DRUG & GIFT, INC
Doing business as
LTC Corner Drug & Gift, Inc
Practice address
823 Morgan Ave
Downs, KS 67437-1623
Phone
(785) 454-6614
Fax
(785) 454-6675
NPI assigned
Oct 21, 2019
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CORNER DRUG & GIFT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Shawna Marie DoaneNPI 1649655374
Title
Owner/Pic
Phone
(785) 454-6614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

823 Morgan Ave
Downs, KS 67437-1623

Mailing address

823 Morgan Ave
Downs, KS 67437-1623
Phone (785) 454-6614

Other identifiers 1

IdentifierTypeStateIssuer
200425740AMedicaidKS

Other names 1

  • LTC Corner Drug & Gift, Inc Doing business as

National Provider Directory

National Provider Directory
Part of
Corner Drug Gift Inc

Locations

823 Morgan Ave
Downs, KS 67437
Phone (785) 454-6614

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1104469345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MORGAN AVE",
            "city": "DOWNS",
            "state": "KS",
            "postal_code": "674371623",
            "telephone_number": "785-454-6614",
            "fax_number": "785-454-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MORGAN AVE",
            "city": "DOWNS",
            "state": "KS",
            "postal_code": "674371623",
            "telephone_number": "785-454-6614",
            "fax_number": "785-454-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG & GIFT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNER DRUG & GIFT, INC",
        "enumeration_date": "2019-10-21",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "DOANE",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "785-454-6614"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200425740A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC Corner Drug & Gift, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.