Alyson Cornelius, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

67262 Issued in CA

Practice address

4424 Bluff Creek Dr
Modesto, CA 95355-9105

Phone

(707) 382-6226

NPI assigned

Jan 23, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1174113195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 BLUFF CREEK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 BLUFF CREEK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559105",
            "telephone_number": "707-382-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "ALYSON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "67262",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "67262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.Sutterhealth.org",
            "affiliation": "Y",
            "affiliationName": "Sutter Health",
            "address_1": "1700 Coffee Rd",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953552803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corey R. Acree DDS, Inc.
• Cyndel Corgiat, CMT
• Michele Diana Corgiat, MFT
• Jorge Coria Pena
• Eduardo Corjasso Jr.
• Cornerstone Caregiving West LLC
• Cornerstone Family Medical Group, a Professional Corporation
• Cornerstone Family Medical Group.
• Nykiah Cornish
• Sofia Corona Ceja

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.