CORNER DRUG STORE INC (NPI# 1134226079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134226079 |
| Entity Type | Organization |
| Organization Name | CORNER DRUG STORE INC |
| Other Organization Name | CORNER DRUG STORE INC |
| Practice Address |
142 Walts Ln Johnstown PA 15906-4123 |
| Practice Telephone | 8145365114 |
| Mailing Telephone | 8145365114 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | ROBERT BIMEAL (PRESIDENT) |
| Authorized Official Telephone | 8142434937 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP410482L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 986505 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3918678 | 01 |
| Other Name | Type Code |
|---|---|
| CORNER DRUG STORE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588793228 | Corner Drug Store Inc | Durable Medical Equipment & Medical Supplies | 101 W Railroad Ave N, Magnolia, MS 39652-2835 | 2007-03-05 |
| 1437170404 | Corner Drug Store Inc | Pharmacy | 2402 W Pierce St, Ste 2b, Carlsbad, NM 88220-3537 | 2006-07-22 |
| Street Address |
142 WALTS LN |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15906-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861746844 | Nancy J Gilbert | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2012-10-30 |
| 1689727273 | Laurel Highlands Neuro-rehabilitation | Psychologist | 111a Roosevelt Boulevard, Johnstown, PA 15906 | 2007-01-19 |
| 1124107503 | Robert Joseph Bimeal Jr. | Pharmacist | 150 Fairfield Ave, Johnstown, PA 15906 | 2006-11-04 |
| 1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
| 1659720399 | Melissa Melikant | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2016-06-03 |
| 1013359082 | Kelly J Leech | Physical Therapy Assistant | 401 Broad St, Johnstown, PA 15906 | 2013-07-19 |
| 1154661551 | Angela K Lambing | Registered Nurse | 401 Broad St, Johnstown, PA 15906 | 2013-02-21 |
| 1003013202 | Amanda Ann Gorzelsky | Pharmacist | 1086 Franklin Street, Johnstown, PA 15906 | 2007-06-29 |
| 1972643336 | Walter V Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906 | 2007-02-07 |
| 1538385349 | Peniel Ministries | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2007-04-18 |
| Find all providers in zip 15906 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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 |
|---|---|---|---|---|
| 1114180585 | Friendly City Pharmacy, Inc | Pharmacy | 81 Osborne St, Johnstown, PA 15905-4130 | 2008-07-07 |
| 1053498923 | Pca Ventures of Colorado LLC | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2006-10-31 |
| 1386747111 | Ohio Cvs Stores LLC | Pharmacy | 797 W Coshocton St, Johnstown, OH 43031-9581 | 2006-09-07 |
| 1346255262 | Giant Eagle Inc | Pharmacy | 1451 Scalp Ave, Johnstown, PA 15904-3334 | 2006-07-29 |
| 1891700712 | Giant Eagle Inc | Pharmacy | 344 Goucher St, Johnstown, PA 15905-3423 | 2006-07-29 |
| 1528073442 | Giant Eagle Inc | Pharmacy | 1233 - 1245 Broad St, Johnstown, PA 15906-2440 | 2006-07-29 |
| 1306867122 | Martella's Pharmacy of Park Hill, LLC | Pharmacy | 1932 William Penn Ave, Johnstown, PA 15909-1637 | 2006-07-21 |
| 1184653164 | Professional Pharmacy Services Inc. | Pharmacy | 1 N Parish Ave, Johnstown, CO 80534-9095 | 2006-07-01 |
| 1578738597 | Professional Pharmacy Services | Pharmacy | 201 Johnstown Center Dr, Johnstown, CO 80534-9073 | 2008-04-30 |
| 1841244704 | Angelo Friello Inc | Pharmacy | 2 E Main St, Johnstown, NY 12095-2623 | 2006-05-22 |
| Find all providers in JOHNSTOWN | ||||
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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.