Corley & McClendon, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE006331 Issued in GA

Legal business name

CORLEY & MCCLENDON, INC

Doing business as

CORLEY DRUGS #3

Practice address

820 North Greenwood Street
Lagrange, GA 30240

Phone

(706) 882-4960

Fax

(706) 882-1149

NPI assigned

Jul 19, 2006

Organization subpart

Yes

Parent organization

SOUTHEASTERN PHARMACEUTICALS, INC.As reported in NPPES

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

Authorized official

Name

Mr. James David Cochran, RPH

Title

Owner/Pharmacist

Phone

(706) 884-2661

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• CORLEY DRUGS #3 Doing business as

Part of

Southeastern Pharmacueticals

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southeastern Pharmacueticals

  • Community/Retail Pharmacy
  • Lagrange, GA
  • NPI 1669654687

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1205855129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEW AIRPORT ROAD",
            "address_2": "SUITE B",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-885-9213",
            "fax_number": "706-885-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 NORTH GREENWOOD STREET",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-882-4960",
            "fax_number": "706-882-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLEY & MCCLENDON, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN PHARMACEUTICALS, INC.",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "706-884-2661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE006331",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1128479",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00290364A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205855129",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORLEY DRUGS #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Jordan Cook
• Catherine Cooley, N.P.
• Karen B Cooper, LPC
• Greta Angstadt Cork, M.S., LPC, NCC
• Corley & McClendon Inc.
• Corley & McClendon, Inc.
• Corley Home Health Care Inc
• Stephani Lee Cornelison, PHD, LCSW
• Steven B. Cosper I, D.C
• Serena M Coulombe, CRNP

• Pharmacy in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.