Am Corner Drug Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2624442 Issued in MN

Legal business name

AM CORNER DRUG INC.

Doing business as

AM Corner Drug

Practice address

817 Maryland Ave E
Saint Paul, MN 55106-2535

Phone

(651) 771-0703

Fax

(651) 771-2706

NPI assigned

Nov 29, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ma Her

Title

Owner

Phone

(651) 771-0703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AM Corner Drug Doing business as

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1225105885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062535",
            "telephone_number": "651-771-0703",
            "fax_number": "651-771-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062535",
            "telephone_number": "651-771-0703",
            "fax_number": "651-771-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM CORNER DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "MA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-771-0703",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "2624442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475060800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AM Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.