Organization Active NPI

Corley & McClendon Inc.

  • Community/Retail Pharmacy
  • Lagrange, GA
National Provider Identifier
1770516973
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE004797 Issued in GA
Legal business name
CORLEY & MCCLENDON INC.
Doing business as
Corley Drugs #1
Practice address
523 South Greenwood Street
Lagrange, GA 30240
Phone
(706) 884-2661
Fax
(706) 884-5446
NPI assigned
Jul 9, 2006
Organization subpart
Yes
Parent organization
CORLEY & MCCLENDON INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. James David Cochran, OWNER/PHARMACIEST
Title
RPH
Phone
(706) 884-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE004797 GA Primary

Addresses

Primary practice location

523 South Greenwood Street
Lagrange, GA 30240

Mailing address

18 New Airport Road
Lagrange, GA 30240
Phone (706) 885-9213

Other identifiers 3

IdentifierTypeStateIssuer
PHRE004797OtherGASTATE PHARMACY LICENSE
00069715AMedicaidGA
1770516973OtherGANPI

Other names 1

  • Corley Drugs #1 Doing business as

National Provider Directory

National Provider Directory
Part of
Corley Drugs

Locations

523 S Greenwood St
Lagrange, GA 30240
Phone (706) 884-2661

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770516973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NEW AIRPORT ROAD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-885-9213",
            "fax_number": "706-885-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 SOUTH GREENWOOD STREET",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "30240",
            "telephone_number": "706-884-2661",
            "fax_number": "706-884-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLEY & MCCLENDON INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORLEY & MCCLENDON INC.",
        "enumeration_date": "2006-07-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "706-884-2661",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER/PHARMACIEST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE004797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "PHRE004797",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00069715A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770516973",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corley Drugs #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.