Mark Corum

Primary specialty

PharmacistTaxonomy code 183500000X

License

9174 Issued in TN

Practice address

1212 State St
White Pine, TN 37890-3467

Phone

(865) 674-7517

NPI assigned

Mar 18, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • White Pine, TN
  • NPI 1063439412
  NPD (past)
• K VA T Food Stores Inc

  • Community/Retail Pharmacy
  • Huntsville, AL
  • NPI 1245038512
  NPD (past)

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1669865440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 SELLERS RD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604203",
            "telephone_number": "865-591-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 STATE ST",
            "city": "WHITE PINE",
            "state": "TN",
            "postal_code": "378903467",
            "telephone_number": "865-674-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUM",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "9174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Calfee, DPH
• Champion Physical Therapy LLC Halls
• Paul Jason Chaney, D.M.D.
• Rachael Nicole Chastain, FNP-BC
• Cherokee Health Systems
• Dr. Kimberly Parks OD PLLC
• Jennifer S Eisenhower, F.N.P.
• Grace Healthcare Group PLLC
• Healthstar Physicians, PC
• Carrie Lynn Henry

• Pharmacist in White Pine, TN
• Providers in White Pine, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.