Organization Active NPI

The Corner Pharmacy

  • Pharmacy
  • Addison, TX
National Provider Identifier
1306038724
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
25674 Issued in TX
Legal business name
THE CORNER PHARMACY
Practice address
4901 Keller Springs Rd
Suite 108
Addison, TX 75001-5930
Phone
(469) 828-4414
Fax
(469) 828-4426
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mr. Phil Worrell, R.PH., J.D.
Title
Director of Pharmacy Operations
Phone
(314) 330-5597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 25674 TX Primary

Addresses

Primary practice location

4901 Keller Springs Rd
Suite 108
Addison, TX 75001-5930

Mailing address

4901 Keller Springs Rd
Suite 108
Addison, TX 75001-5930
Phone (469) 828-4414

National Provider Directory

National Provider Directory

Locations

4901 Keller Springs Rd
Ste 108
Addison, TX 75001
Phone (469) 828-4414

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1306038724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 KELLER SPRINGS RD",
            "address_2": "SUITE 108",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015930",
            "telephone_number": "469-828-4414",
            "fax_number": "469-828-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 KELLER SPRINGS RD",
            "address_2": "SUITE 108",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015930",
            "telephone_number": "469-828-4414",
            "fax_number": "469-828-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "WORRELL",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "314-330-5597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH., J.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "25674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.