Corkys Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

CF00003889 Issued in WA

Legal business name

CORKYS PHARMACY INC

Practice address

821 S Auburn St
Kennewick, WA 99336-5661

Phone

(509) 586-3128

Fax

(509) 586-9051

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

David Alme

Title

Owner

Phone

(509) 586-3128

Specialties & licenses 3

Addresses

Other identifiers 5

Other names 1

• CORKS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1497766992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 26TH PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374942",
            "telephone_number": "509-586-3128",
            "fax_number": "509-586-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S AUBURN ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365661",
            "telephone_number": "509-586-3128",
            "fax_number": "509-586-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORKYS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "ALME",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-586-3128"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00003889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2106362",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9034828",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036286",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074616",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6012629",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loren K Copeland, CRNA
• Jennifer Mary Corbin, PA-C
• Kayla Corbin, PHARMACIST
• Courtney Corbitt
• Core Counseling and Consultation
• Mary E Corley, MED, LMHC
• Destinny Rose Coronado
• Julia Ann Coronado
• Briana Lynne Corriell
• Kaylin B Cortez

• Community/Retail Pharmacy in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.