Individual provider Active NPI

Cory Dewayne McDonald, PHARM.D

  • Pharmacist
  • Lebanon, TN
National Provider Identifier
1336440734
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33596 Issued in TN
Practice address
315 N Cumberland St
Lebanon, TN 37087-2720
Phone
(615) 444-2999
Fax
(615) 449-5364
NPI assigned
Nov 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33596 TN Primary

Addresses

Primary practice location

315 N Cumberland St
Lebanon, TN 37087-2720

Mailing address

315 N Cumberland St
Lebanon, TN 37087-2720
Phone (615) 444-2999

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
33596TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Drugs Inc. Current Accepting new patients

Locations

315 N Cumberland St
Lebanon, TN 37087
Phone (615) 444-2999

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.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1336440734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N CUMBERLAND ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872720",
            "telephone_number": "615-444-2999",
            "fax_number": "615-449-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N CUMBERLAND ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872720",
            "telephone_number": "615-444-2999",
            "fax_number": "615-449-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CORY",
        "middle_name": "DEWAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "33596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.