CORNER DRUG STORE INC (NPI# 1437170404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437170404 |
| Entity Type | Organization |
| Organization Name | CORNER DRUG STORE INC |
| Other Organization Name | ADVANCED MEDICATION MANAGEMENT SYSTEMS |
| Practice Address |
2402 W Pierce St Ste 2b Carlsbad NM 88220-3537 |
| Practice Telephone | 5758852979 |
| Practice Fax Number | 5758852979 |
| Mailing Telephone | 5758852979 |
| Mailing Fax Number | 5758855714 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | JOSEPH CROSS (PRES) |
| Authorized Official Telephone | 5758852979 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH00002988 | NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 55533 | 05 | |
| PK | 2056322 | 01 |
| Other Name | Type Code |
|---|---|
| ADVANCED MEDICATION MANAGEMENT SYSTEMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134226079 | Corner Drug Store Inc | Pharmacy | 142 Walts Ln, Johnstown, PA 15906-4123 | 2006-09-20 |
| 1588793228 | Corner Drug Store Inc | Durable Medical Equipment & Medical Supplies | 101 W Railroad Ave N, Magnolia, MS 39652-2835 | 2007-03-05 |
| Street Address |
2402 W PIERCE ST STE 2B |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178338 | Joseph Daniel Cross | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2005-07-15 |
| 1306392097 | Madeleine Drummond | Nurse Practitioner | 2402 W Pierce St, Suite 2a, Carlsbad, NM 88220-3537 | 2016-08-31 |
| 1073983011 | Crystal Mullins | Nurse Practitioner | 2402 W Pierce St, Suite 6a, Carlsbad, NM 88220-3537 | 2015-10-02 |
| 1265835284 | Apoorva Reddy Tiparti | Pharmacist | 2402 W Pierce St, Suite 1a, Carlsbad, NM 88220-3537 | 2014-10-05 |
| 1104167477 | Jill Fierro | Nurse Practitioner | 2402 W Pierce St, Ste 4a, Carlsbad, NM 88220-3537 | 2013-03-11 |
| 1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
| 1245519115 | Raney Pediatrics | Pediatrics | 2402 W Pierce St, Suite 3 C, Carlsbad, NM 88220-3537 | 2011-08-10 |
| 1982905683 | Ida Lee Fraser | Nurse Practitioner | 2402 W Pierce St, Suite 4a, Carlsbad, NM 88220-3537 | 2010-11-11 |
| 1912216755 | Sophia Ann Villalobos | Nurse Practitioner | 2402 W Pierce St, Suite 6f, Carlsbad, NM 88220-3537 | 2010-09-28 |
| 1699918672 | Pecos Valley of New Mexico LLC | Durable Medical Equipment & Medical Supplies | 2402 W Pierce St, Suite 6e, Carlsbad, NM 88220-3537 | 2009-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326683 | Health and Human Services Commission | Pharmacy | 11640 Us Highway 87 N, Carlsbad, TX 76934-7000 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579705 | Mesilla Valley Pharmacy & Consulting | Pharmacy | 100 Wyatt Dr Ste B, Las Cruces, NM 88005-2922 | 2018-12-05 |
| 1669954798 | Zia Pharmacy, LLC | Pharmacy | 575 S Alameda Blvd Ste 102, Las Cruces, NM 88005-2818 | 2018-09-05 |
| 1558859710 | Integral Pharmacy, LLC | Pharmacy | 109 S Second St, Gallup, NM 87301-6219 | 2018-04-24 |
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1730585142 | Zia Pharmacy, LLC | Pharmacy | 2820 Broadbent Pkwy Ne Ste C, Albuquerque, NM 87107-1621 | 2014-11-12 |
| 1902169816 | Badger Health Corp | Pharmacy | 1275 S 2nd St Ste A, Raton, NM 87740-2209 | 2012-06-18 |
| 1356364343 | May Pharmacy Cedar Crest Inc | Pharmacy | 12129 Hwy 14 N, Cedar Crest, NM 87008-9492 | 2006-07-25 |
| 1386679710 | Ncs Healthcare of New Mexico, LLC | Pharmacy | 9019 Washington St Ne, Suite B1, Albuquerque, NM 87113-2435 | 2006-07-12 |
| 1245239185 | Mjrx II LLC | Pharmacy | 1445 Wyoming Blvd Ne, Albuquerque, NM 87112-3849 | 2005-07-20 |
| 1760018212 | Pharmex Inc | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.