Corley'S Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1109 Issued in TN

Legal business name

CORLEY'S PHARMACY INC

Practice address

1004 Snapps Ferry Rd
Greeneville, TN 37745-4029

Phone

(423) 638-7552

Fax

(423) 638-2552

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan Bruce Corley, D.PH.

Title

Pharmacist/President

Phone

(423) 638-7552

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Snapps Ferry Pharmacy Inc

  • Community/Retail Pharmacy
  • Greeneville, TN
  • NPI 1689125106

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1366487886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440874",
            "telephone_number": "423-638-7552",
            "fax_number": "423-638-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SNAPPS FERRY RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454029",
            "telephone_number": "423-638-7552",
            "fax_number": "423-638-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLEY'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "423-638-7552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452424",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4415041",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian J Cook, P.T.
• Wesley Adam Cook, PA
• Aryn Gosnell Cooper, FNP
• Jessica Copeland, DPT
• Alan Bruce Corley, D.PH.
• Cornerstone Personal Care Services
• Brent Cornette
• Kayla Brobeck Cornwell
• Benjie Lane Cox, D.PH.
• Catherine R Cox, DPT

• Community/Retail Pharmacy in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.