Corey Lee Koonce, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

23744 Issued in NC

Practice address

14520 John Rex Blvd
Raleigh, NC 27614-8592

Phone

(919) 556-2434

NPI assigned

Feb 14, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harris Teeter LLC

  • Community/Retail Pharmacy
  • Apex, NC
  • NPI 1225856859
  NPD (past)
• Harris Teeter, LLC

  • Community/Retail Pharmacy
  • Raleigh, NC
  • NPI 1922240100
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1205375011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 JOHN REX BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148592",
            "telephone_number": "919-556-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14520 JOHN REX BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148592",
            "telephone_number": "919-556-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "COREY",
        "middle_name": "LEE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23744",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramesh Babu Konduru
• Yvette Konemann, CNS, RN
• Snehalatha Konidena, MD
• Carrie Konn, FNP
• Joseph Henry Konst, CRNA
• Kendall Theresa Kooser, PHARMD, CPP
• Brittany Alexa Kopec, DC
• Aaron Christopher Kopp, PA-C
• Pallavi Kopparthy, M.D.
• Charles David Korba, DPM

• Pharmacist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.