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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.

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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?
The practice location on file with NPPES is in Vicksburg, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.