Organization Active NPI

Corner Drug Stores Inc

Doing business as Corner Drug Stores of Bunn. Bunn Drug

  • Community/Retail Pharmacy
  • Bunn, NC
National Provider Identifier
1477599850
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09206 Issued in NC
Legal business name
CORNER DRUG STORES INC
Doing business as
Corner Drug Stores of Bunn. Bunn Drug
Practice address
23 East Highway 98
Suite 100
Bunn, NC 27508
Phone
(919) 497-1700
Fax
(919) 497-1777
NPI assigned
Jun 22, 2006
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Adrian Adams, BS PHARMNPI 1326044728
Title
President
Phone
(919) 269-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 09206 NC Primary

Addresses

Primary practice location

23 East Highway 98
Suite 100
Bunn, NC 27508

Mailing address

23 East Highway 98
Suite 100
Bunn, NC 27508
Phone (919) 497-1700

Other identifiers 2

IdentifierTypeStateIssuer
1477599850MedicaidNC
2065497OtherPK

Other names 1

  • Corner Drug Stores of Bunn. Bunn Drug Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1477599850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EAST HIGHWAY 98",
            "address_2": "SUITE 100",
            "city": "BUNN",
            "state": "NC",
            "postal_code": "27508",
            "telephone_number": "919-497-1700",
            "fax_number": "919-497-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EAST HIGHWAY 98",
            "address_2": "SUITE 100",
            "city": "BUNN",
            "state": "NC",
            "postal_code": "27508",
            "telephone_number": "919-497-1700",
            "fax_number": "919-497-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG STORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-269-7481",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477599850",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug Stores of Bunn. Bunn Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corner Drug Stores of Bunn. Bunn Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.