OLD CORNER DRUG
NPI 1962921700
Pharmacy - Long Term Care Pharmacy in West, TX

Active since September 13, 2017
200 N MAIN ST, WEST, TX 76691(254) 826-5122(254) 826-3768 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 3, 2021, Sep 13, 2017 (3 updates tracked since 2017).

About Old Corner Drug NPPES

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

OLD CORNER DRUG (NPI 1962921700) is a healthcare organization registered as a long term care pharmacy in West, Texas and active in the NPI registry since September 2017. The organization lists Randy James Niemeyer, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1962921700
Entity TypeOrganization
Primary Taxonomy3336L0003X
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
Fax(254) 826-3768
Organization SubpartNo
Authorized OfficialRandy James NiemeyerOwner/pharmacist · (254) 826-5122
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
NPI 1962921700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License Licensed in TX · 6826
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

200 N MAIN ST, West, TX 76691

Other Names 1

Doing Business AsOld Corner Drug

Other Identifiers 1

Medicaid142315TX

Accepted Insurance

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.

Pharmacy (Community/Retail Pharmacy)
200 N MAIN ST
WEST, TX 76691
Pharmacist
200 N MAIN ST
WEST, TX 76691
Nurse Practitioner (Adult Health)
200 N MAIN ST
WEST, TX 76691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962921700, enumerated as an "organization" on September 13, 2017.

The provider is located at 200 N MAIN ST WEST, TX 76691 and the phone number is (254) 826-5122.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to verify.