Corner Drug Co Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

TN595 Issued in TN

Legal business name

CORNER DRUG CO INC

Practice address

414 Main St
Lake City, TN 37769

Phone

(865) 426-2851

Fax

(865) 426-9446

NPI assigned

Aug 10, 2006

Last updated

Aug 14, 2012By 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

Davd Dew, DPH

Title

Owner

Phone

(865) 426-2851

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

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.

• David Carl Dew, R.P.H.

  • Pharmacist
  • Lake City, TN
  • NPI 1154417996
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1316958986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P0 BOX 455",
            "city": "LAKE CITY",
            "state": "TN",
            "postal_code": "37769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "LAKE CITY",
            "state": "TN",
            "postal_code": "37769",
            "telephone_number": "865-426-2851",
            "fax_number": "865-426-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "DAVD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-426-2851",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "TN595",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4408161",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Carl Dew, R.P.H.
• Marks Pharmacy
• Marks Pharmacy
• Wendy Braden Miller, NP-C
• Ronald E. Noe, D.D.S.

• Pharmacy in Lake City, TN
• Providers in Lake City, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.