Cornerstone Pharmacy JFK LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CORNERSTONE PHARMACY JFK LLC

Practice address

5328 JFK Blvd
N Little Rock, AR 72116-6704

Phone

(501) 246-5035

Fax

(501) 246-5448

NPI assigned

Mar 1, 2023

Last updated

Mar 1, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CORNERSTONE PHARMACY JFK LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kammy M Krisell, PHARMDNPI 1942606678

Title

Pic

Phone

(501) 246-5035

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cornerstone Pharm JFK LLC4 organizations share this tax ID, including this one

Part of

Cornerstone Pharm JFK LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Cornerstone Pharmacy JFK LLC

  • Community/Retail Pharmacy
  • North Little Rock, AR
  • NPI 1104179274
  NPD tax ID
• Cornerstone Pharmacy JFK LLC

  dba Cornerstone Pharmacy JFK Specialty

  • Health Service Clinic/Center
  • North Little Rock, AR
  • NPI 1124911516
  NPD tax ID
• Cornerstone Pharmacy JFK, LLC

  • Community/Retail Pharmacy
  • North Little Rock, AR
  • NPI 1023362464
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kammy Marie Krisell, PHARMD

  • Pharmacist
  • N Little Rock, AR
  • NPI 1942606678
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1043919848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 JFK BLVD",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166704",
            "telephone_number": "501-246-5035",
            "fax_number": "501-246-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 JFK BLVD",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166704",
            "telephone_number": "501-246-5035",
            "fax_number": "501-246-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY JFK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE PHARMACY JFK LLC",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KRISELL",
        "authorized_official_first_name": "KAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "501-246-5035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196600407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Karen T Dang, PHARMD
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• Dr. Jerry L. Shue

• Long Term Care Pharmacy in N Little Rock, AR
• Providers in N Little Rock, AR by specialty
• Long Term Care Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.