Active NPI
John E Corkrean III, RPH
- Pharmacist
- Spencer, WV
National Provider Identifier
1306933205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3046
- Practice address
- 100 E Main St
Spencer, WV 25276-1503 - Phone
- (304) 927-2980
- Fax
- (304) 927-3190
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 3046 | WV | Primary |
Addresses
Primary practice location
100 E Main St
Spencer, WV 25276-1503
Mailing address
212 Vallis Dr
Spencer, WV 25276-1038
Phone (304) 927-4943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staats Pharmacy and Health Care Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Spencer, WV
- NPI 1679661474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306933205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 VALLIS DR",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761038",
"telephone_number": "304-927-4943",
"fax_number": "304-927-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MAIN ST",
"city": "SPENCER",
"state": "WV",
"postal_code": "252761503",
"telephone_number": "304-927-2980",
"fax_number": "304-927-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORKREAN",
"first_name": "JOHN",
"middle_name": "E",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "3046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spencer, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.