Corner Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY685 Issued in HI

Legal business name

CORNER PHARMACY CORPORATION

Doing business as

Corner Pharmacy

Practice address

2011 Coyne St
Honolulu, HI 96826-1334

Phone

(808) 946-0064

Fax

(808) 949-7131

NPI assigned

Nov 12, 2006

Last updated

Jul 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Phillip Mudrick, R.PH.NPI 1104992650

Title

President

Phone

(808) 946-0064

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Corner Pharmacy Doing business as

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.

• Carl Phillip Mudrick, R.PH.

  • Pharmacist
  • Honolulu, HI
  • NPI 1104992650
  NPD (past) Authorized official

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373760000000",
    "number": "1518038694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 COYNE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261334",
            "telephone_number": "808-946-0064",
            "fax_number": "808-949-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 COYNE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261334",
            "telephone_number": "808-946-0064",
            "fax_number": "808-949-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2013-07-14",
        "status": "A",
        "authorized_official_last_name": "MUDRICK",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-946-0064",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "PHY685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1239880",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suerte Corla
• Jill Corleone, RD
• Carine Corman, MA
• Cornea & Refractive Surgery Consultants of the Pacific, Inc. (EyeSight Hawaii)
• Sarah Cornelius, SLP
• Justin Coronado
• Dashel Cassaundra Corpe
• Austin De Guzman Corpuz, MD
• Jeanell Corpuz
• Randall Corpuz, LMT

• Community/Retail Pharmacy in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Community/Retail Pharmacy in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.