Individual provider Active NPI

Constance Maccorkle, PHARMACIST

  • Pharmacist
  • Hayesville, NC
National Provider Identifier
1194113266
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
013527 Issued in GA
Practice address
44 Highway 64 W
Hayesville, NC 28904-9655
Phone
(828) 389-6343
Fax
(828) 389-9460
NPI assigned
Dec 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NC08043 NC
Pharmacist 183500000X 013527 GA Primary

Addresses

Primary practice location

44 Highway 64 W
Hayesville, NC 28904-9655

Mailing address

44 Highway 64 W
Hayesville, NC 28904-9655
Phone (828) 389-6343

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

State licenses

LicenseStateTypeSpecialty
013527GAMDPharmacist
NC08043NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1194113266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HIGHWAY 64 W",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049655",
            "telephone_number": "828-389-6343",
            "fax_number": "828-389-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HIGHWAY 64 W",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049655",
            "telephone_number": "828-389-6343",
            "fax_number": "828-389-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCORKLE",
        "first_name": "CONSTANCE",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "NC08043",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "013527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.