Active NPI
Corley & McClendon, Inc.
- Community/Retail Pharmacy
- Lagrange, GA
National Provider Identifier
1396764213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE007019
- Legal business name
- CORLEY & MCCLENDON, INC.
- Doing business as
- Corley Drugs #4
- Practice address
- 18 New Airport Road
Lagrange, GA 30240 - Phone
- (706) 884-2517
- Fax
- (706) 882-3818
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James David Cochran, RPH
- Title
- Owner/Pharmacist
- Phone
- (706) 884-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE007019 | GA | Primary |
Addresses
Primary practice location
18 New Airport Road
Lagrange, GA 30240
Mailing address
18 New Airport Road
Suite B
Lagrange, GA 30240
Phone (706) 885-9213
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00383666A | Medicaid | GA | |
| PHRE007019 | Other | GA | STATE PHARMACY LICENSE |
| 1133393 | Other | NCPDP# | |
| 000383666A | Medicaid | GA | |
| 1396764213 | Other | NPI |
Other names 1
- Corley Drugs #4
National Provider Directory
National Provider DirectoryLocations
18 New Airport Rd
Lagrange, GA 30240
Phone (706) 884-2517
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Retail Pharmacy
- Lagrange, GA
- NPI 1770516973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1396764213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NEW AIRPORT ROAD",
"address_2": "SUITE B",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30240",
"telephone_number": "706-885-9213",
"fax_number": "706-885-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NEW AIRPORT ROAD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "30240",
"telephone_number": "706-884-2517",
"fax_number": "706-882-3818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORLEY & MCCLENDON, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "COCHRAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "706-884-2661",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE007019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00383666A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "PHRE007019",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP#",
"identifier": "1133393",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000383666A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1396764213",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corley Drugs #4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.