Provider Type Icon

CORNER DRUG STORE INC NPI 1992751143


NPI Information

NPI: 1992751143
Provider Name: CORNER DRUG STORE, INC

Doing Business As: CORNER DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 52D2126389

Address:
316 W SPRING ST STE 6
DODGEVILLE, WI
ZIP 53533
Phone: (608) 935-3661
Get Directions

CORNER DRUG STORE, INC is a community/retail pharmacy pharmacy in Dodgeville, WI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CORNER DRUG STORE, INC NPI is 1992751143. The provider is registered as an organization entity type.
The provider Is Doing Business As Corner Drug Store.

The provider's business location address is:

316 W SPRING ST STE 6
DODGEVILLE, WI
ZIP 53533-300
Phone: (608) 935-3661
Fax: (608) 935-2661

The provider's authorized official is Haley Stocks .
The authorized official title is Contracting Specialist and has the following contact phone number (920) 992-6800.

The CLIA number assigned to this NPI record is 52D2126389 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 4/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies5538-042WISCONSINNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5538-042WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15105691OTHERWISCONSINNCPDP
233119600MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.