NPIMap

Organization Active NPI

Snapps Ferry Pharmacy Inc

Doing business as Corley's Pharmacy

  • Community/Retail Pharmacy
  • Greeneville, TN
National Provider Identifier
1689125106
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1109 Issued in TN
Legal business name
SNAPPS FERRY PHARMACY INC
Doing business as
Corley's Pharmacy
Practice address
1004 Snapps Ferry Rd
Greeneville, TN 37745-4029
Phone
(423) 638-7552
Fax
(423) 638-2552
NPI assigned
Oct 19, 2016
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Alan CorleyNPI 1255452629
Title
President
Phone
(423) 630-7030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1109 TN Primary

Addresses

Primary practice location

1004 Snapps Ferry Rd
Greeneville, TN 37745-4029

Mailing address

PO Box 874
Greeneville, TN 37744-0874
Phone (423) 638-7552

Other identifiers 2

IdentifierTypeStateIssuer
1689125106MedicaidTN
2165797OtherPK

Other names 1

  • Corley's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220202002749 TN Part B Supplier - Pharmacy 7517350101 Practice locations: Greeneville, TN

National Provider Directory

National Provider Directory
Tax ID family
Corley's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1689125106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377440874",
            "telephone_number": "423-638-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SNAPPS FERRY RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454029",
            "telephone_number": "423-638-7552",
            "fax_number": "423-638-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAPPS FERRY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-630-7030"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689125106",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corley's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.