Brenton James Cornwell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-3-26829 Issued in OH

Practice address

4205 E Market St
Warren, OH 44484-2246

Phone

(330) 856-1794

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Ohio Inc

  • Community/Retail Pharmacy
  • Warren, OH
  • NPI 1609882919
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356472906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S RACCOON RD",
            "address_2": "#40",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445155215",
            "telephone_number": "330-270-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842246",
            "telephone_number": "330-856-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "BRENTON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-26829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cook, CDCA
• Sharon Cooper, RN
• Tanisha Copes
• Core Chiropractic Center, LLC
• Kristi Cornicello, M.A., CCC-SLP
• Joseph Corson, CDCA
• Cortland OBGYN Associates Inc
• Jacqueline Costello
• John Petros Costianes, QMHS
• Matthew James Cottrill

• Pharmacist in Warren, OH
• Providers in Warren, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.