Cory Joseph Block, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26024212A Issued in IN

Practice address

525 S Mayflower Rd
South Bend, IN 46619-2223

Phone

(574) 334-5200

NPI assigned

Dec 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MSM Holdco, LLC

  dba Martin's Pharmacy #2308

  • Community/Retail Pharmacy
  • South Bend, IN
  • NPI 1578015103
  NPD

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1609463975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 S MAYFLOWER RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S MAYFLOWER RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192223",
            "telephone_number": "574-334-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "CORY",
        "middle_name": "JOSEPH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040873",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26024212A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessing Hearts Home Care LLC
• Janelle Ruth Blickensderfer, D.O.
• Leah Ruth Blickensderfer, DO
• Scott Alan Blickensderfer, D.O.
• Marie Louise Bliha
• Joyce Block, PHD
• Stanley Wayne Blom, PH.D.
• Jessica Blomeke, AU. D.
• Ira L Blondheim, PT
• Kira Bloom, LCSW

• Pharmacist in South Bend, IN
• Providers in South Bend, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.