Organization Active NPI

Corner Homecare Inc

Doing business as The Pharmacy Corner

  • Community/Retail Pharmacy
  • Fredonia, KY
National Provider Identifier
1114923257
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
90005554MedicaidKY
54004320MedicaidKY

Other names 1

  • The Pharmacy Corner Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corner Homecare5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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.

Verify at the official NPI Registry.