Individual provider Active NPI

Randee Nicole Corns

  • Pharmacist
  • Yates Center, KS
National Provider Identifier
1386286300
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-109541 Issued in KS
Practice address
122 W Rutledge St
Yates Center, KS 66783-1238
Phone
(620) 625-2221
NPI assigned
Oct 10, 2019
Last updated
Jan 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 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 1-109541 KS Primary

Addresses

Primary practice location

122 W Rutledge St
Yates Center, KS 66783-1238

Mailing address

122 W Rutledge St
Yates Center, KS 66783-1238

Other practice location 1

126 N Main St
Medicine Lodge, KS 67104-1317
Phone (620) 886-5161

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

State licenses

LicenseStateTypeSpecialty
1-109541KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1386286300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W RUTLEDGE ST",
            "city": "YATES CENTER",
            "state": "KS",
            "postal_code": "667831238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W RUTLEDGE ST",
            "city": "YATES CENTER",
            "state": "KS",
            "postal_code": "667831238",
            "telephone_number": "620-625-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N Main St",
            "address_purpose": "LOCATION",
            "city": "Medicine Lodge",
            "state": "KS",
            "postal_code": "671041317",
            "country_code": "US",
            "telephone_number": "620-886-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNS",
        "first_name": "RANDEE",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-109541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yates Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.