Active NPI
Corner Homecare Inc
Doing business as The Pharmacy Corner
- Community/Retail Pharmacy
- Fredonia, KY
National Provider Identifier
1114923257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CORNER HOMECARE INC
- Doing business as
- The Pharmacy Corner
- Practice address
- 700 Cassidy Ave
Fredonia, KY 42411-9207 - Phone
- (270) 545-3413
- Fax
- (270) 545-3427
- NPI assigned
- Jun 23, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven K Ppool
- Title
- President
- Phone
- (270) 365-3903
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | KY | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | KY | ||
| Pharmacy | 333600000X | KY | ||
| Community/Retail Pharmacy | 3336C0003X | KY | Primary | |
| Home Infusion Therapy Pharmacy | 3336H0001X | KY | ||
| Long Term Care Pharmacy | 3336L0003X | KY |
Addresses
Primary practice location
700 Cassidy Ave
Fredonia, KY 42411-9207
Mailing address
108 E Washington St
Princeton, KY 42445-2250
Phone (270) 365-3903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90005554 | Medicaid | KY | |
| 54004320 | Medicaid | KY |
Other names 1
- The Pharmacy Corner
National Provider Directory
National Provider Directory- Tax ID family
- Corner Homecare
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Owensboro, KY
- NPI 1467667311
-
- Compounding Pharmacy
- Princeton, KY
- NPI 1831304799
-
- Oxygen Equipment & Supplies (DME)
- Paducah, KY
- NPI 1205832342
-
- Oxygen Equipment & Supplies (DME)
- Vincennes, IN
- NPI 1396740866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1114923257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E WASHINGTON ST",
"city": "PRINCETON",
"state": "KY",
"postal_code": "424452250",
"telephone_number": "270-365-3903",
"fax_number": "270-365-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CASSIDY AVE",
"city": "FREDONIA",
"state": "KY",
"postal_code": "424119207",
"telephone_number": "270-545-3413",
"fax_number": "270-545-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNER HOMECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PPOOL",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-365-3903",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": null,
"primary": true
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "KY",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "KY",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90005554",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54004320",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pharmacy Corner",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fredonia, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.