Organization Active NPI

Corner Drug Co.

Doing business as Corner Drug Company Inc

  • Pharmacy
  • Woodland, CA
National Provider Identifier
1760477079
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CORNER DRUG CO.
Doing business as
Corner Drug Company Inc
Practice address
602 Main St
Woodland, CA 95695-3405
Phone
(530) 662-2813
Fax
(530) 662-1031
NPI assigned
Sep 13, 2005
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Sara Shelley, PHARMDNPI 1134698343
Title
Ceo
Phone
(530) 662-2813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

602 Main St
Woodland, CA 95695-3405

Mailing address

PO Box 1812
Woodland, CA 95776-1812
Phone (530) 662-2813

Other names 1

  • CORNER DRUG COMPANY INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190107000976 CA Part B Supplier - Pharmacy 7618096025 Practice locations: Woodland, CA

National Provider Directory

National Provider Directory

Locations

602 Main St
Woodland, CA 95695
Phone (530) 662-2813

Practitioners & affiliated clinicians

Practitioners 5

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": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1760477079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1812",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957761812",
            "telephone_number": "530-662-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAIN ST",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953405",
            "telephone_number": "530-662-2813",
            "fax_number": "530-662-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-09-02",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-662-2813",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNER DRUG COMPANY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.