Cornerstone Pharmacy 1 LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

CORNERSTONE PHARMACY 1 LLC

Doing business as

Cornerstone Pharmacy

Practice address

2757 S Main Rd
Vineland, NJ 08360-7151

Phone

(609) 805-3044

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ashley M Stetsenko, PHARMD

Title

Pharmacist

Phone

(609) 805-3044

Specialties & licenses 4

Addresses

Other names 1

• CORNERSTONE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Daniil Stetsenko, PHARMD

  • Pharmacist
  • Millville, NJ
  • NPI 1144822560
  NPD

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1437813417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607151",
            "telephone_number": "609-805-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "STETSENKO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "609-805-3044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNERSTONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miesha Copeland
• Andrew Thomas Coppa
• Gianna Leigh Cordisio, PHARMD
• Kevalyn Corley, LPN
• Cornerstone Community Living
• Coron Physical Therapy, LLC
• Karen Helene Corvino, RPH
• Jessica Costello
• Angela Costin
• Courtney Cox, D.O.

• Pharmacy in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.