Organization Active NPI

Corridor Pharmacy

  • Community/Retail Pharmacy
  • North Liberty, IA
National Provider Identifier
1164050944
Registry record updated Mar 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CORRIDOR PHARMACY
Practice address
650 W Cherry St Ste 7
North Liberty, IA 52317-9025
Phone
(319) 331-9005
NPI assigned
Mar 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2020

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

Authorized official

Name
Mrs. Kyra Corbett, PHARMDNPI 1093880791
Title
Pharmacist
Phone
(319) 331-9005

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
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

650 W Cherry St Ste 7
North Liberty, IA 52317-9025

Mailing address

1635 Silver Maple TRL
North Liberty, IA 52317-4738
Phone (319) 331-9005

National Provider Directory

National Provider Directory

Locations

650 W Cherry St
Ste 7
North Liberty, IA 52317
Phone (319) 331-9005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585440000000",
    "number": "1164050944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 SILVER MAPLE TRL",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174738",
            "telephone_number": "319-331-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W CHERRY ST STE 7",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179025",
            "telephone_number": "319-331-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRIDOR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-29",
        "last_updated": "2020-03-29",
        "certification_date": "2020-03-29",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "KYRA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "319-331-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.