Hali Marie Cornelison, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

14898 Issued in OK

Practice address

1231 N Washington Ave
Durant, OK 74701-2119

Phone

(580) 924-2903

Fax

(580) 924-7337

NPI assigned

Dec 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• GLN Inc of Durant

  • Community/Retail Pharmacy
  • Durant, OK
  • NPI 1558348755
  NPD (past)
• Pruett'S Food, Inc.

  • Pharmacy
  • Durant, OK
  • NPI 1881124766
  NPD (past)

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1063008779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-924-2903",
            "fax_number": "580-924-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012119",
            "telephone_number": "580-924-2903",
            "fax_number": "580-924-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELISON",
        "first_name": "HALI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "14898",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Cooper
• Shara Denise Cooper
• Gracie Nicole Corbin
• Kendall Cordell
• Erica Nicole Cordero, LSWA-P, MSW
• Corner Drug of Durant Inc
• Cornerstone Caregiving East LLC
• Janna Marie Cottingame, D.C.
• Counseling and Counsulting, Inc.
• Country Style Health Care Inc X

• Pharmacist in Durant, OK
• Providers in Durant, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.