CORNER DRUG STORE
NPI 1922031392
Pharmacist in Vicksburg, MS

Active since July 09, 2006
1123 WASHINGTON ST, VICKSBURG, MS 39183(601) 636-2756(601) 638-0071 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corner Drug Store NPPES

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

CORNER DRUG STORE (NPI 1922031392) is a healthcare organization registered as a pharmacist in Vicksburg, Mississippi and active in the NPI registry since July 2006. The organization lists Joseph A Gerache, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1922031392
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameCORNER DRUG STORE
Location Address1123 WASHINGTON STVicksburg, MS 39183-2959
Mailing Address1123 Washington StVicksburg, MS 39183-2959
Fax(601) 638-0071
Organization SubpartNo
Authorized OfficialJoseph A GerachePharmacist · (601) 636-2756
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1922031392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · 00274
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1123 WASHINGTON ST, Vicksburg, MS 39183

Other Identifiers 1

Medicaid00031101MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
1123 WASHINGTON ST
VICKSBURG, MS 39183
Pharmacist
1123 WASHINGTON ST
VICKSBURG, MS 39183

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 Corner Drug Store's NPI number?

The NPI number for Corner Drug Store is 1922031392. It was assigned to this organization in the NPPES registry on July 9, 2006.

Where is Corner Drug Store located?

Corner Drug Store is located at 1123 Washington St, Vicksburg, MS 39183. The listed phone number is (601) 636-2756.

What is Corner Drug Store's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Corner Drug Store was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.