Jack's Corner Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

79 Issued in IA

Legal business name

JACK'S CORNER DRUG

Doing business as

Corner Drug

Practice address

100 N Main St
Sigourney, IA 52591-1414

Phone

(641) 622-3184

Fax

(641) 622-1054

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Jack Vallandingham

Title

Pharmacist

Phone

(641) 622-3184

Specialties & licenses 1

Addresses

Other names 1

• Corner Drug Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1962548180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK'S CORNER DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "VALLANDINGHAM",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "641-622-3184"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "79",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Grover, PHARMD
• Elaine M. Hammes, M.S., R.DN., L.D.
• Lori Ann Hammes, CDAC, CNA
• Michaela Helen Hoffman
• Jerry Holmes, PHARM.D.
• Mariah Johnson, DNP, PMHNP
• Pamela Grimsbo Kapple, DDS
• Terry Allen Kapple, DDS
• Dawn Renae Karr, MSN, ARNP, FNP-C
• Keokuk County Health Center

• Community/Retail Pharmacy in Sigourney, IA
• Providers in Sigourney, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.