Individual provider Active NPI

Corrie Worsham Washburn, PHARMD

  • Pharmacist
  • Alamo Heights, TX
National Provider Identifier
1467096909
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58586 Issued in TX
Practice address
6100 Broadway St
Alamo Heights, TX 78209-4545
Phone
(210) 824-3322
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58586 TX Primary

Addresses

Primary practice location

6100 Broadway St
Alamo Heights, TX 78209-4545

Mailing address

23918 Calico Chase
San Antonio, TX 78260-6645
Phone (210) 663-4104

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
58586TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Business Partners LLC CurrentSince Nov 3, 2019 Accepting new patients

Locations

6100 Broadway
San Antonio, TX 78209
Phone (210) 824-3322

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1467096909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23918 CALICO CHASE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606645",
            "telephone_number": "210-663-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BROADWAY ST",
            "city": "ALAMO HEIGHTS",
            "state": "TX",
            "postal_code": "782094545",
            "telephone_number": "210-824-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "CORRIE",
        "middle_name": "WORSHAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "58586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.