Active NPI
Justin Cornett, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Lexington, KY
National Provider Identifier
1467074633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- KY014561
- Practice address
- 1600 Leestown Rd Ste 150
Lexington, KY 40511-2136 - Phone
- (859) 259-0965
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | KY014561 | KY | Primary |
Addresses
Primary practice location
1600 Leestown Rd Ste 150
Lexington, KY 40511-2136
Mailing address
1600 Leestown Rd Ste 150
Lexington, KY 40511-2136
Phone (859) 259-0965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY014561 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1467074633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 LEESTOWN RD STE 150",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405112136",
"telephone_number": "859-259-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LEESTOWN RD STE 150",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405112136",
"telephone_number": "859-259-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "JUSTIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KY",
"license": "KY014561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.