Corbin Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06688 Issued in KY

Legal business name

CORBIN PHARMACY INC

Practice address

14 Moonbow PLZ
Ste 1
Corbin, KY 40701-8910

Phone

(606) 523-5585

Fax

(606) 523-4418

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Brian Elliot, RPH

Title

Owner

Phone

(606) 523-5585

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CORBIN PHARMACY Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1497810824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOONBOW PLZ",
            "address_2": "STE 1",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018910",
            "telephone_number": "606-523-5585",
            "fax_number": "606-523-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MOONBOW PLZ",
            "address_2": "STE 1",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407018910",
            "telephone_number": "606-523-5585",
            "fax_number": "606-523-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORBIN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-523-5585",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P06688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54002605",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1827053",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORBIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corbin Nursing Home, Inc.
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• Corbin Pathology Services PLLC
• Corbin Pediatric Associates PSC
• Corbin Radiology, PLLC
• Corbin Rural Health Center PLLC
• Corbin-Greer & Greer, PSC
• William Matthew Cornelius, PHARMD
• Alfred Cornett

• Community/Retail Pharmacy in Corbin, KY
• Providers in Corbin, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.