Active NPI
Corey McClanahan, RPH
- Pharmacist
- Huntington, WV
National Provider Identifier
1669113460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12795
- Practice address
- 5179 US Route 60
Huntington, WV 25705-2003 - Phone
- (304) 736-3496
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12795 | WV | Primary |
Addresses
Primary practice location
5179 US Route 60
Huntington, WV 25705-2003
Mailing address
1010 8TH St Apt 1
Huntington, WV 25701-3357
Phone (304) 543-1023
Other practice location 1
5179 US Route 60
Huntington, WV 25705-2003
Phone (304) 736-3496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12795 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1669113460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 8TH ST APT 1",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013357",
"telephone_number": "304-543-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5179 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052003",
"telephone_number": "304-736-3496"
}
],
"practiceLocations": [
{
"address_1": "5179 US Route 60",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257052003",
"country_code": "US",
"telephone_number": "304-736-3496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLANAHAN",
"first_name": "COREY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "12795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.