Corning Hospital
Organization Active NPI Community/Retail Pharmacy · Corning, NY
NPI 1962010694 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1962010694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- CORNING HOSPITAL
- Practice address
- 1 Guthrie Drive
Corning Hospital Outpatient Pharmacy
Corning, NY 14830 - Phone
- (570) 887-2800
- Fax
- (570) 887-2827
- NPI assigned
- Jul 20, 2020
- Organization subpart
- No
Authorized official
- Name
- Joseph Edward Mihalek
- Title
- Director, Outpatient Pharmacy
- Phone
- (570) 887-2800
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 68
-
Jerod Alan Buell, DO
-
James L Distin, D.O.
-
Carol Gleeson, MD
-
Jackie Jian, DO
-
Rodrigo I Kong, M.D.
-
Elizabeth L Linkenheil, D.O.
-
Rebecca Nerenberg, M.D.
-
Thomas Porturas, MD, PHD
-
David D Wirtz, MD
-
Neeharika Bhatnagar, M.D.
-
Adam Breslin, M.D.
-
Gregory M Christiansen, D.O.
-
Matthew Colo, M.D.
-
Jesse Scott Dew, DO
-
Lindsey Hall, M.D.
-
Marc S Harris, D.O.
-
Elana Hayasaka, M.D.
-
Michael Paul Kaiserian, M.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Corning Hospital Outpatient Pharmac |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210317000112 | NY | DME Supplier - Pharmacy | 9133031925 | Practice locations: Corning, NY |
| O20211027003026 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133031925 | Practice locations: Corning, NY |
National Provider Directory
- Tax ID family
- Corning Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1 Guthrie Drive
Corning Hospital Outpatient Pharmacy
Corning, NY 14830
Mailing address
1 Guthrie Square
Clinic Pharmacy
Sayre, PA 18840
Phone (570) 887-2800
Other names
- Corning Hospital Outpatient Pharmacy
Other providers in Corning, NY
- Corning Council for Assistance and Information for the Disabled Inc
- Corning Dental Associates RLLP
- Corning Hospital
- Corning Hospital
- Corning Hospital
- Corning Hospital
- Corning Meals on Wheels, Inc.
- Jennifer Cornish
- Elizabeth Ruth Costello
- Janelle Marie Craft
All providers in Corning, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.