Organization Active NPI

Corner Drug Store Inc

  • Community/Retail Pharmacy
  • Long Beach, MS
National Provider Identifier
1225787278
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CORNER DRUG STORE INC
Practice address
5101 Beatline Road
Long Beach, MS 39560
Phone
(228) 687-3040
Fax
(228) 687-3041
NPI assigned
Mar 18, 2022
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dylan J BerenatoNPI 1942882360
Title
Pharmacist in Charge
Phone
(228) 687-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

5101 Beatline Road
Long Beach, MS 39560

Mailing address

5101 Beatline Rd
Long Beach, MS 39560-4141
Phone (228) 687-3040

National Provider Directory

National Provider Directory

Locations

5101 Beatline Rd
Long Beach, MS 39560
Phone (228) 424-5579

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1225787278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 BEATLINE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604141",
            "telephone_number": "228-687-3040",
            "fax_number": "228-687-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 BEATLINE ROAD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "39560",
            "telephone_number": "228-687-3040",
            "fax_number": "228-687-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BERENATO",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "228-687-3040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.