Corner Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301007256 Issued in MI

Legal business name

CORNER PHARMACY

Doing business as

the corner pharmacy

Practice address

15525 W Warren Ave
Detroit, MI 48228-3731

Phone

(313) 584-3377

Fax

(313) 584-8336

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Tarek Jaward

Title

Owner

Phone

(313) 674-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• the corner pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramzi Jaward, PHARMACIST

  • Pharmacist
  • Detroit, MI
  • NPI 1689462400
  NPD (past)

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1417370438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283731",
            "telephone_number": "313-584-3377",
            "fax_number": "313-584-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283731",
            "telephone_number": "313-584-3377",
            "fax_number": "313-584-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "JAWARD",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-674-9800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the corner pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Mayra Cornejo
• Cornelius Care Transportation LLC
• Jasmine Cornelius
• Kimberly Renee Cornelius, LLBSW
• Shannon Cornell, PTA
• Joseph Robert Corner, DO
• Cornerstone Community Counseling LLC
• Cornerstone Urban Alliance
• Benjamin Craig Cornwall, D.D.S.
• Brandon Cornwell, DO

• Community/Retail Pharmacy in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.