Andrew Corn, PHARMD
Individual provider Active NPI Pharmacist · Robinson, IL
NPI 1841880366 · NPPES record last updated Jan 19, 2021
Key facts
- NPI
- 1841880366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051293498 (IL)
- Practice address
- 1300 N Allen St
Robinson, IL 62454-1090 - Phone
- (618) 544-2167
- NPI assigned
- Jan 19, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051293498 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051293498 | IL | Yes |
Addresses
Primary practice location
1300 N Allen St
Robinson, IL 62454-1090
Mailing address
1300 N Allen St
Robinson, IL 62454-1090
Phone (618) 544-2167
Other providers in Robinson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.