Organization Active NPI

Corner Pharmacy Incorporated

Doing business as Corner Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
National Provider Identifier
1699254839
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CORNER PHARMACY INCORPORATED
Doing business as
Corner Pharmacy
Practice address
112 N 5TH Ave Ste 101
Phoenix, AZ 85003
Phone
(602) 258-0128
Fax
(602) 258-0248
NPI assigned
Aug 8, 2018
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Ruben Garibyan
Title
President/Owner
Phone
(602) 258-0128

Specialties & licenses 1

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

Addresses

Primary practice location

112 N 5TH Ave Ste 101
Phoenix, AZ 85003

Mailing address

112 N 5TH Ave Ste 101
Phoenix, AZ 85003-1633
Phone (602) 258-0128

Other names 1

  • CORNER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

112 N 5th Ave
Ste 101
Phoenix, AZ 85003
Phone (602) 258-0128

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1699254839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N 5TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031633",
            "telephone_number": "602-258-0128",
            "fax_number": "602-258-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 5TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85003",
            "telephone_number": "602-258-0128",
            "fax_number": "602-258-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "GARIBYAN",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-258-0128",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.