Cornerstone Pharmacy JFK LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CORNERSTONE PHARMACY JFK LLC

Practice address

5328 John F Kennedy Blvd
North Little Rock, AR 72116-6704

Phone

(501) 246-5035

Fax

(501) 246-5448

NPI assigned

Jun 2, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kenny Harrison, PHARM D

Title

Owner

Phone

(501) 580-1895

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Pharmacy JFK Specialty Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cornerstone Pharmacy JFK LLC

  • Community/Retail Pharmacy
  • North Little Rock, AR
  • NPI 1104179274

  O20250528000207

  Same enrollment

Tax ID family

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

Other organizations with this tax ID 3

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

• Cornerstone Pharmacy JFK LLC

  • Long Term Care Pharmacy
  • N Little Rock, AR
  • NPI 1043919848
  NPD tax ID
• Cornerstone Pharmacy JFK LLC

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

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

Locations

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1124911516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 JOHN F KENNEDY BLVD",
            "city": "NORTH 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 JOHN F KENNEDY BLVD",
            "city": "NORTH 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": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-580-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy JFK Specialty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ty Brendan Copeland, M.D.
• Makayla Copus
• Mary L Corbitt, MD
• Abbie Elizabeth Corder
• Cornerstone Pharmacy JFK LLC
• Cornerstone Pharmacy JFK, LLC
• Cornerstone Pharmacy Lakewood, LLC
• Cornerstone Pharmacy Lakewood, LLC
• Gail Corrigan, OCCUPATIONAL THERAPI
• Eloise Cotton

• All providers in North Little Rock, AR
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.