Cornerstone Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20333 Issued in AR

Legal business name

CORNERSTONE PHARMACY INC

Doing business as

cornerstone pharmacy

Practice address

4220 N Rodney Parham
Suite 101
Little Rock, AR 72212-2453

Phone

(501) 223-2224

Fax

(501) 219-4663

NPI assigned

Nov 8, 2006

Last updated

Dec 10, 2021By 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

Dr. Kenny Harrison, PHARM DNPI 1952506081

Title

Pharmacist

Phone

(501) 223-2224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• cornerstone pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Cornerstone Pharmacy3 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.

• Cornerstone Pharmacy

  • Compounding Pharmacy
  • Little Rock, AR
  • NPI 1538584552
  NPD tax ID
• Cornerstone Pharmacy Inc

  dba Cornerstone Pharmacy and Compounding

  • Long Term Care Pharmacy
  • Little Rock, AR
  • NPI 1699565143
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenny Harrison Jr., PHARM D

  • Pharmacist
  • Little Rock, AR
  • NPI 1952506081
  NPD (past) Authorized official
• Stacy E Cooper, PHARMD

  • Pharmacist
  • Wynne, AR
  • NPI 1295989176
  NPD (past)
• Samuel Eddington

  • Pharmacist
  • Little Rock, AR
  • NPI 1740019413
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1437228756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM RD",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122453",
            "telephone_number": "501-223-2224",
            "fax_number": "501-219-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 N RODNEY PARHAM",
            "address_2": "SUITE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122453",
            "telephone_number": "501-223-2224",
            "fax_number": "501-219-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-223-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182833407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cornerstone pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cornerstone Pharmacy at Chenal LLC (Cornerstone Pharmacy at Chenal)
• Cornerstone Pharmacy at Chenal LLC
• Cornerstone Pharmacy Inc (Cornerstone Pharmacy and Compounding)
• Cornerstone Pharmacy Main LLC
• Cornerstone Pharmacy Main LLC
• Cornerstone Pharmacy Otter Creek LLC
• Cornerstone Pharmacy Otter Creek LLC

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.