Individual provider Active NPI

Chad Corum, PHARM D

  • Pharmacist
  • Manchester, KY
National Provider Identifier
1972946176
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
015990 Issued in KY
Practice address
1668 S Highway 421
Manchester, KY 40962-7514
Phone
(606) 599-0505
Fax
(606) 599-0508
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 015990 KY Primary

Addresses

Primary practice location

1668 S Highway 421
Manchester, KY 40962-7514

Mailing address

1668 S Highway 421
Manchester, KY 40962-7514
Phone (606) 599-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
015990KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1972946176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 S HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627514",
            "telephone_number": "606-599-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1668 S HIGHWAY 421",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409627514",
            "telephone_number": "606-599-0505",
            "fax_number": "606-599-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORUM",
        "first_name": "CHAD",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.