Cornerstone Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

MP0552287 Issued in WV

Legal business name

CORNERSTONE PHARMACY

Practice address

425 E Main St
Ste 409
Kingwood, WV 26537

Phone

(304) 329-0193

Fax

(304) 329-3151

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dailey L Shrout, RPH

Title

Pharmacist Owner

Phone

(304) 329-0193

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316014889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST",
            "address_2": "STE 409",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "26537",
            "telephone_number": "304-329-0193",
            "fax_number": "304-329-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST",
            "address_2": "STE 409",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "26537",
            "telephone_number": "304-329-0193",
            "fax_number": "304-329-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHROUT",
        "authorized_official_first_name": "DAILEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "304-329-0193",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WV",
            "license": "MP0552287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001242000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda Faye Cole
• Esther Cole
• Catherine Collins
• Frederick Allen Conley II, M.D.
• Karen Cooper
• Ashley Cosner
• County of Preston Board of Health (Preston County Health Department)
• Jane P. Crogan, SLP
• Helen Crouch
• Jennifer D Cunningham, PHARMD

• Pharmacy in Kingwood, WV
• Providers in Kingwood, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.