NPIMap

Organization Active NPI

Corcoran Healthcare Enterprises Inc

Doing business as Richland Family Prescription Center

  • Community/Retail Pharmacy
  • Richland Center, WI
National Provider Identifier
1306918941
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
7973-042 Issued in WI
Legal business name
CORCORAN HEALTHCARE ENTERPRISES INC
Doing business as
Richland Family Prescription Center
Practice address
301 E 2ND St
Richland Center, WI 53581-1900
Phone
(608) 647-8806
Fax
(608) 647-2029
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Mr. Paul F Corcoran, RPH
Title
Owner
Phone
(608) 647-8806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 7973-042 WI Primary

Addresses

Primary practice location

301 E 2ND St
Richland Center, WI 53581-1900

Mailing address

301 E 2ND St
PO Box 309
Richland Center, WI 53581-1900
Phone (608) 647-8806

Other identifiers 2

IdentifierTypeStateIssuer
33168200MedicaidWI
5120009OtherWINABP NUMBER

Other names 1

  • Richland Family Prescription Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1306918941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "address_2": "PO BOX 309",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811900",
            "telephone_number": "608-647-8806",
            "fax_number": "608-647-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 2ND ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535811900",
            "telephone_number": "608-647-8806",
            "fax_number": "608-647-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORCORAN HEALTHCARE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-647-8806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7973-042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33168200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "5120009",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland Family Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.