NPIMap

Organization Active NPI

Cornerstone Pharmacy at Chenal LLC

  • Community/Retail Pharmacy
  • Little Rock, AR
National Provider Identifier
1306965512
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20559 Issued in AR
Legal business name
CORNERSTONE PHARMACY AT CHENAL LLC
Doing business as
CORNERSTONE PHARMACY AT CHENAL
Practice address
16115 Saint Vincent Way
Suite 120
Little Rock, AR 72223
Phone
(501) 821-2300
Fax
(501) 821-7297
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Aubrey Harton, RPHNPI 1982881678
Title
Co Owner/Pic
Phone
(501) 821-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X AR20559 AR Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

16115 Saint Vincent Way
Suite 120
Little Rock, AR 72223

Mailing address

16115 Saint Vincent Way
Suite 120
Little Rock, AR 72223
Phone (501) 821-2300

Other identifiers 2

IdentifierTypeStateIssuer
1989790OtherPK
163770407MedicaidAR

Other names 1

  • CORNERSTONE PHARMACY AT CHENAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190813002457 AR Part B Supplier - Mass Immunization (Roster Biller Only) 5193052116 Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Pharmacy at Chenal2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16115 Saint Vincent Way
Ste 120
Little Rock, AR 72223
Phone (501) 821-2300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1306965512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-821-2300",
            "fax_number": "501-821-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16115 SAINT VINCENT WAY",
            "address_2": "SUITE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72223",
            "telephone_number": "501-821-2300",
            "fax_number": "501-821-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY AT CHENAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "HARTON",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "CO OWNER/PIC",
        "authorized_official_telephone_number": "501-821-2300",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20559",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1989790",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163770407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNERSTONE PHARMACY AT CHENAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.