OLD CORNER DRUG (NPI# 1962921700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962921700 |
| Entity Type | Organization |
| Organization Name | OLD CORNER DRUG |
| Other Organization Name | OLD CORNER DRUG |
| Practice Address |
200 N Main St West TX 76691-1207 |
| Practice Telephone | (254) 826-5122 |
| Practice Fax Number | 2548263768 |
| Mailing Telephone | 2548265122 |
| Mailing Fax Number | 2548263768 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | AVERY KIRK WINES (OWNER) |
| Authorized Official Telephone | 2548265122 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
6826 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 142315 | 05 |
| Other Name | Type Code |
|---|---|
| OLD CORNER DRUG | Doing Business As Name - Organization |
| Street Address |
200 N MAIN ST |
| City | WEST |
| State | TX |
| Zip Code | 76691-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518042803 | Kirk Wines | Pharmacy | 200 N Main St, West, TX 76691-1207 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243667 | Lauren Nicole Wernet | Specialist/Technologist | 305 Vardiman Rd, West, TX 76691 | 2017-09-05 |
| 1952433310 | P S Well-child Clinic | Family Medicine | 407 W Oak St., West, TX 76691 | 2007-03-12 |
| 1154467934 | Dr Walter J Mellgren Jr Dc Pa | Chiropractor | 109 N Regan St, West, TX 76691 | 2007-01-29 |
| 1093878092 | West Station Enterprise Inc | Durable Medical Equipment & Medical Supplies | 1579 Tokio Rd, West, TX 76691 | 2006-12-19 |
| 1790897601 | Generation Rx Inc. | Durable Medical Equipment & Medical Supplies | 206 N Main St, West, TX 76691 | 2006-08-31 |
| 1962416487 | Billy Don Pierce | General Practice | 407 W Oak St, West, TX 76691 | 2006-07-28 |
| 1891727004 | Avery Kirk Wines | Pharmacist | 200 N Main, West, TX 76691 | 2006-07-07 |
| 1083725816 | Paula Ann Snokhous | Physician Assistant | 407 W Oak St, West, TX 76691 | 2006-08-31 |
| 1558469312 | Larry D Sparks | Dentist | 312 N Main, West, TX 76691-0369 | 2006-09-20 |
| 1386675262 | Walter Jean Mellgren Jr. | Chiropractor | 109 N Reagan St, West, TX 76691-0475 | 2006-07-06 |
| Find all providers in zip 76691 | ||||
| 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 |
|---|---|---|---|---|
| 1760082481 | San Marcos Treatment Facility | Pharmacy | 120 Bert Brown Rd, San Marcos, TX 78666-5803 | 2020-10-30 |
| 1114524212 | Yousenasna Group LLC | Pharmacy | 506 Graham Dr Ste 140, Tomball, TX 77375-3346 | 2020-10-02 |
| 1962029959 | Texas Rxsolutions and Compounding Pharmacy | Pharmacy | 7505 Fannin Street., Suite 140, Houston, TX 77054-1974 | 2020-06-25 |
| 1336764877 | Precise Drugs Tx Inc | Pharmacy | 1510 Randolph St Ste 503, Carrollton, TX 75006-7476 | 2020-06-10 |
| 1871114421 | Alamo Health LLC | Pharmacy | 408 Us Highway 90 W Ste B, Castroville, TX 78009-4548 | 2020-05-05 |
| 1962022442 | Hewitt Drug | Pharmacy | 511 N Hewitt Dr Ste 1, Hewitt, TX 76643-3093 | 2020-04-24 |
| 1285254060 | River Road Pharmacy | Pharmacy | 910 River Rd, Boerne, TX 78006-2441 | 2020-04-21 |
| 1750900015 | Thousand Oaks Healthcare LLC | Pharmacy | 426 Castroville Rd Ste 5, San Antonio, TX 78207-5169 | 2020-04-15 |
| 1639708464 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr Ste A, Princeton, TX 75407-9607 | 2020-04-03 |
| 1982230488 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr Ste 201-202, El Paso, TX 79932-1454 | 2020-03-16 |
| 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.