Active NPI
Corey McPherson
- Pharmacist
- Princeton, WV
National Provider Identifier
1205436664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0012222
- Practice address
- 120 12TH Street
Princeton, WV 24740 - Phone
- (304) 487-8209
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12222 | WV | |
| Pharmacist | 183500000X | 0012222 | WV | Primary |
Addresses
Primary practice location
120 12TH Street
Princeton, WV 24740
Mailing address
314 Cahill Dr
Princeton, WV 24740-3971
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0012222 | WV | MD | Pharmacist |
| 12222 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1205436664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CAHILL DR",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247403971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 12TH STREET",
"city": "PRINCETON",
"state": "WV",
"postal_code": "24740",
"telephone_number": "304-487-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "COREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "12222",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "0012222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.