The Corner Drugstore Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

THE CORNER DRUGSTORE INC

Practice address

2 Charlestowne PLZ
Saint Charles, MO 63303-6376

Phone

(636) 441-1055

Fax

(636) 922-0049

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Roberts, RPH CF

Title

President

Phone

(636) 946-6557

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• STANDARD DRUG Doing business as

Tax ID family

Standard Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Corner Drugstore Inc

  • Pharmacy
  • Wentzville, MO
  • NPI 1033283502
  NPD tax ID

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1902989809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHARLESTOWNE PLZ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036376",
            "telephone_number": "636-441-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHARLESTOWNE PLZ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036376",
            "telephone_number": "636-441-1055",
            "fax_number": "636-922-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CORNER DRUGSTORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-946-6557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH CF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "004713",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2603442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANDARD DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.