Organization Active NPI

Corner Drug LLC

Doing business as Corner Drug

  • Community/Retail Pharmacy
  • Madill, OK
National Provider Identifier
1669566071
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
68-7237 Issued in OK
Legal business name
CORNER DRUG LLC
Doing business as
Corner Drug
Corner Drug LLC
Practice address
100 E Main St
Madill, OK 73446-2239
Phone
(580) 795-3376
Fax
(580) 795-3255
NPI assigned
Oct 3, 2006
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Margaret Perkins, PHARM DNPI 1649332016
Title
Pharmacist
Phone
(580) 795-3376

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 68-7237 OK Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

100 E Main St
Madill, OK 73446-2239

Mailing address

100 E Main St
Madill, OK 73446-2239
Phone (580) 795-3376

Other identifiers 2

IdentifierTypeStateIssuer
2153007OtherPK
1008119110BMedicaidOK

Other names 2

  • Corner Drug Doing business as
  • Corner Drug LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1669566071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462239",
            "telephone_number": "580-795-3376",
            "fax_number": "580-795-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "MADILL",
            "state": "OK",
            "postal_code": "734462239",
            "telephone_number": "580-795-3376",
            "fax_number": "580-795-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "580-795-3376",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "68-7237",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008119110B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Corner Drug LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madill, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.