Active NPI
Blake Gregory Corbin, PHARMD
- Pharmacist
- Petoskey, MI
National Provider Identifier
1174463897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302417955
- Practice address
- 1301 N US Highway 31
Petoskey, MI 49770-9317 - Phone
- (231) 348-7510
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302417955 | MI | Primary |
Addresses
Primary practice location
1301 N US Highway 31
Petoskey, MI 49770-9317
Mailing address
1432 Standish Ave Apt 308E
Petoskey, MI 49770-3075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302417955 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1174463897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 STANDISH AVE APT 308E",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497703075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N US HIGHWAY 31",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497709317",
"telephone_number": "231-348-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "BLAKE",
"middle_name": "GREGORY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302417955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.