Corner Drug Store
Corner Drug Store is a healthcare organization registered as Pharmacist in Vicksburg, MS, holding Type 2 (organization) NPI 1922031392 since 2006. The authorized official on file is Joseph Gerache, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1922031392 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Corner Drug Store |
| Practice address | 1123 WASHINGTON ST, Vicksburg, MS, 39183 |
| Phone | 6016362756 |
| Fax | 6016380071 |
| Enumeration date | 2006-07-09 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Joseph Gerache |
|---|---|
| Title | Pharmacist |
| Phone | 6016362756 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 00274 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00031101 | Medicaid | MS | — |
Copy-ready billing details
Provider: Corner Drug Store NPI: 1922031392 Taxonomy: 183500000X (Pharmacist) Address: 1123 WASHINGTON ST, Vicksburg, MS, 39183
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1548374424 | Tracie Hale-Smith | Individual | Pharmacist | Vicksburg, MS |
| 1306102470 | Freds Pharmacy of Quitman LLC | Organization | Community/Retail Pharmacy | Vicksburg, MS |
Verify this record
Cross-check NPI 1922031392 against the authoritative CMS record: view Corner Drug Store on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Corner Drug Store located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.