1. Home
  2. Directory
  3. Texas
  4. West
  5. Pharmacy
  6. NPI Profile

OLD CORNER DRUG
NPI 1518042803
Pharmacy - Community/Retail Pharmacy in West, TX

Active since October 26, 2006CLIA 45D0926596 · Waiver
200 N MAIN ST, WEST, TX 76691(254) 826-5122(254) 826-3768 Get Directions Write a Review

NPPES record last updated: March 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2021, Jan 22, 2021 (2 updates tracked since 2021).

About Old Corner Drug NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD CORNER DRUG (NPI 1518042803) is a healthcare organization registered as a community/retail pharmacy in West, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Randy James Niemeyer, Pharmacist/president, as its authorized official.

NPPES Registry Identity

NPI1518042803
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWEST OLD CORNER DRUG, INC
Location Address200 N MAIN STWest, TX 76691-1207
Mailing Address200 N Main StWest, TX 76691-1207 · (254) 826-5122 · Fax (254) 826-3768
Phone(254) 826-5122
Fax(254) 826-3768
Organization SubpartNo
Authorized OfficialRandy James NiemeyerPharmacist/president · (254) 826-5122
Enumeration DateOctober 26, 2006
Last NPPES UpdateMarch 6, 20212 updates tracked since enumeration
NPPES CertifiedMarch 6, 2021
✔ NPI 1518042803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
200 N MAIN ST, West, TX 76691
Open in Google Maps ↗

Other Names 1

Doing Business AsOld Corner Drug

Other Identifiers 2

Medicaid16437801TX
Medicaid142315TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0926596

Old Corner Drug · West, TX
Active · expires Oct 6, 2026
CLIA Number45D0926596
Laboratory TypePharmacy
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorAvery K. Wines
Laboratory Phone(254) 826-5122
Laboratory LocationOld Corner Drug200 N Main, West, TX 76691
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services54 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
48 services48 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
22 services22 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
22 services22 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RANDY JAMES NIEMEYER PHARMD
Pharmacist
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
WEST OLD CORNER DRUG, INC
Pharmacy (Long Term Care Pharmacy)
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
OLD CORNER WELLNESS INC
Nurse Practitioner (Adult Health)
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Old Corner Drug, Inc's NPI number?

The NPI number for West Old Corner Drug, Inc is 1518042803. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is West Old Corner Drug, Inc located?

West Old Corner Drug, Inc is located at 200 N Main St, West, TX 76691. The listed phone number is (254) 826-5122.

What is West Old Corner Drug, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does West Old Corner Drug, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0926596) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Old Corner Drug, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 55 other insurers list West Old Corner Drug, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Old Corner Drug, Inc was last updated on March 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.