Organization Active NPI

Cornerstone Pharmacy Inc

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1558850545
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.020815 Issued in IL
Legal business name
CORNERSTONE PHARMACY INC
Practice address
10555 S Ewing Ave
First Floor
Chicago, IL 60617-6200
Phone
(773) 902-2356
Fax
(773) 902-2458
NPI assigned
May 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Danniela Olmos Figueroa
Title
Owner/Ao
Phone
(773) 844-3455

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 054.020815 IL Primary

Addresses

Primary practice location

10555 S Ewing Ave
First Floor
Chicago, IL 60617-6200

Mailing address

10555 S Ewing Ave
First Floor
Chicago, IL 60617-6200
Phone (773) 902-2356

Other identifiers 1

IdentifierTypeStateIssuer
2177600OtherPK

Other names 1

  • Cornerstone Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

10555 S Ewing Ave
Ste 1
Chicago, IL 60617
Phone (773) 902-2356

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1558850545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 S EWING AVE",
            "address_2": "FIRST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176200",
            "telephone_number": "773-902-2356",
            "fax_number": "773-902-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 S EWING AVE",
            "address_2": "FIRST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176200",
            "telephone_number": "773-902-2356",
            "fax_number": "773-902-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "OLMOS FIGUEROA",
        "authorized_official_first_name": "DANNIELA",
        "authorized_official_title_or_position": "OWNER/AO",
        "authorized_official_telephone_number": "773-844-3455"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.020815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.