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

Active since September 13, 2017CLIA 45D0926596 · Waiver
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: September 20, 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 holds a CLIA Waiver certificate valid through October 6, 2026 and 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
Phone(254) 826-5122
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
Open in Google Maps ↗

Other Names 1

Doing Business AsOld Corner Drug

Other Identifiers 1

Medicaid142315TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. 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.

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.

OLD CORNER WELLNESS INC
Nurse Practitioner (Adult Health)
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
DR. RANDY JAMES NIEMEYER PHARMD
Pharmacist
200 N MAIN ST
WEST, TX 76691
McLennan County (254) 826-5122
WEST OLD CORNER DRUG, INC
Pharmacy (Community/Retail Pharmacy)
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 1962921700. It was assigned to this organization in the NPPES registry on September 13, 2017. The provider is doing business as Old Corner Drug.

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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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 Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield and Avera Health Plans and 28 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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.