The Corner Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

206059 Issued in KS

Legal business name

THE CORNER PHARMACY, INC.

Practice address

429 Delaware St
Leavenworth, KS 66048-2732

Phone

(913) 682-1602

Fax

(913) 682-4220

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald R. Booth, R.PH.NPI 1225460686

Title

Owner

Phone

(913) 682-1602

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Ronald R Booth, RPH

  • Pharmacist
  • Leavenworth, KS
  • NPI 1225460686
  NPD (past) Authorized official
• Robert Galen Blanke, R.PH.

  • Pharmacist
  • Leavenworth, KS
  • NPI 1689751794
  NPD (past)
• Thomas Clark, RPH,MBA

  • Pharmacist
  • Leavenworth, KS
  • NPI 1154753341
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1194790469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 DELAWARE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482732",
            "telephone_number": "913-682-1602",
            "fax_number": "913-682-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 DELAWARE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482732",
            "telephone_number": "913-682-1602",
            "fax_number": "913-682-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-682-1602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "206059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1710652",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri Taylor, RPH
• Luis Tello
• Salem Terrien
• Holly Lynn Terwilleger, T-LMFT
• Angela Testa, LMSW
• The Covenant Group PA
• The Guidance Center
• The Guidance Center
• The Guidance Center
• The Guidance Center, Inc

• All providers in Leavenworth, KS
• Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.