Organization Active NPI

Corinth Community Pharmacy, LLC.

Doing business as Community Pharmacy

  • Community/Retail Pharmacy
  • Corinth, TX
National Provider Identifier
1609403716
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CORINTH COMMUNITY PHARMACY, LLC.
Doing business as
Community Pharmacy
Practice address
3001 F.M. 2181
Suite 450
Corinth, TX 76210
Phone
(940) 487-7455
Fax
(940) 279-1605
NPI assigned
Mar 26, 2020
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Steven Walker, PHARMDNPI 1356814255
Title
Owner/Pharmacist in Charge
Phone
(940) 487-7455

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3001 F.M. 2181
Suite 450
Corinth, TX 76210

Mailing address

3001 F.M. 2181
Suite 450
Corinth, TX 76210
Phone (940) 487-7455

Other identifiers 1

IdentifierTypeStateIssuer
33200OtherTXTEXAS STATE BOARD OF PHARMACY

Other names 1

  • Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200424000197 TX Part B Supplier - Pharmacy 5294165783 Practice locations: Corinth, TX
O20200723002989 TX DME Supplier - Pharmacy 5294165783 Practice locations: Corinth, TX

National Provider Directory

National Provider Directory

Locations

3001 FM 2181
Ste 450
Corinth, TX 76210
Phone (940) 487-7455

Practitioners & affiliated clinicians

Practitioners 2

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": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1609403716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 F.M. 2181",
            "address_2": "SUITE 450",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-487-7455",
            "fax_number": "940-279-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 F.M. 2181",
            "address_2": "SUITE 450",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "76210",
            "telephone_number": "940-487-7455",
            "fax_number": "940-279-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH COMMUNITY PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "940-487-7455",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "33200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corinth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.