Active NPI
Michael Kevin Corkery, RP
- Pharmacist
- Kearney, NE
National Provider Identifier
1760143366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9582
- Practice address
- 4800 3Rd Ave
Kearney, NE 68845-2892 - Phone
- (308) 237-2002
- NPI assigned
- Jan 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9582 | NE | Primary |
Addresses
Primary practice location
4800 3Rd Ave
Kearney, NE 68845-2892
Mailing address
11391 729 Rd
Holdrege, NE 68949-3387
Phone (308) 991-3162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9582 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1760143366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11391 729 RD",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689493387",
"telephone_number": "308-991-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 3RD AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452892",
"telephone_number": "308-237-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORKERY",
"first_name": "MICHAEL",
"middle_name": "KEVIN",
"credential": "RP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "9582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.