Organization Active NPI

Corner Homecare

  • Home Infusion Therapy Pharmacy
  • Vincennes, IN
National Provider Identifier
1659586501
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
CORNER HOMECARE
Practice address
321 N 2ND St
Vincennes, IN 47591-1304
Phone
(812) 886-6902
Fax
(812) 886-5473
NPI assigned
May 14, 2007
Last updated
Mar 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Mr. Steve K Ppool, RPH
Title
Ceo
Phone
(270) 365-3903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

321 N 2ND St
Vincennes, IN 47591-1304

Mailing address

108 E Washington St
Princeton, KY 42445-2250
Phone (270) 365-3903

Other identifiers 2

IdentifierTypeStateIssuer
200413900AMedicaidIN
200500530AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1659586501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E WASHINGTON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424452250",
            "telephone_number": "270-365-3903",
            "fax_number": "270-365-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 2ND ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911304",
            "telephone_number": "812-886-6902",
            "fax_number": "812-886-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "PPOOL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-365-3903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200413900A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200500530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.