NPIMap

Organization Active NPI

Cornerstone Pharmacy Conway, LLC

  • Long Term Care Pharmacy
  • Conway, AR
National Provider Identifier
1184483083
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CORNERSTONE PHARMACY CONWAY, LLC
Practice address
815 Hogan LN Ste 10
Conway, AR 72034-7959
Phone
(501) 328-3282
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
John Wirges
Title
Owner/Pharmacist in Charge
Phone
(501) 328-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

815 Hogan LN Ste 10
Conway, AR 72034-7959

Mailing address

815 Hogan LN Ste 10
Conway, AR 72034-7959

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Pharmacy Conway LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

815 Hogan Ln
Ste 10
Conway, AR 72034
Phone (501) 328-3282

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1184483083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HOGAN LN STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HOGAN LN STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347959",
            "telephone_number": "501-328-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WIRGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "501-328-3282"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.