Cory Lane Coburn, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

18143 Issued in IA

Practice address

210 N Main St
Clarion, IA 50525-1440

Phone

(515) 532-6626

NPI assigned

Jan 24, 2007

Last updated

Mar 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1679628978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505251440",
            "telephone_number": "515-532-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505251440",
            "telephone_number": "515-532-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "CORY",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catalyst Counseling & Consultation L.L.C.
• Central Avenue Healthcare, Inc. (Clarion Wellness and Rehabilitation Center)
• City of Clarion (Clarion Ambulance Service)
• Clarion Health Care
• Clarion-Goldfield Community School District
• Community Health Center of Fort Dodge, Inc. (Community Health Center of Clarion)
• County of Wright (Hospice for Wright County)
• County of Wright (Wright County Health Department)
• Brandon Travis Cramer, D.C.
• Developmental Resources, Inc. (Krysilis, Inc.-Clarion 2)

• Pharmacist in Clarion, IA
• Providers in Clarion, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.