NPIMap

Organization Active NPI

Corona Drug,Inc.

Doing business as Corona Drug

  • Pharmacy
  • Corona, CA
National Provider Identifier
1972598431
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY45243 Issued in CA
Legal business name
CORONA DRUG,INC.
Doing business as
Corona Drug
Practice address
221 East Third Street
Corona, CA 92879
Phone
(951) 735-4600
Fax
(951) 284-4701
NPI assigned
Sep 12, 2005
Organization subpart
No

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. Oleg PillerNPI 1306964416
Title
Cfo
Phone
(951) 735-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY45243 CA Primary

Addresses

Primary practice location

221 East Third Street
Corona, CA 92879

Mailing address

221 East Third Street
Corona, CA 92879
Phone (951) 735-4600

Other identifiers 1

IdentifierTypeStateIssuer
05-60931OtherCANCPDP/NABP

Other names 1

  • CORONA DRUG Doing business as

National Provider Directory

National Provider Directory

Locations

221 E 3rd St
Corona, CA 92879
Phone (951) 735-4600

2105 S San Pedro St
Los Angeles, CA 90011
Phone (213) 749-4174

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972598431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EAST THIRD STREET",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-735-4600",
            "fax_number": "951-284-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EAST THIRD STREET",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-735-4600",
            "fax_number": "951-284-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA DRUG,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PILLER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "951-735-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP",
            "identifier": "05-60931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORONA DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

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.