Cornerstone Pharmacy Conway, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CORNERSTONE PHARMACY CONWAY, LLC

Practice address

815 Hogan LN Ste 10
Conway, AR 72034-7959

Phone

(501) 328-3282

NPI assigned

Jun 10, 2014

Organization subpart

No

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

Authorized official

Name

John G Wirges IV

Title

Pharmacist in Charge/Owner

Phone

(501) 328-3282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Cornerstone Pharmacy Conway LLC3 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 Conway, LLC

  • Long Term Care Pharmacy
  • Conway, AR
  • NPI 1184483083
  NPD tax ID
• Cornerstone Pharmacy Conway, LLC

  • Community/Retail Pharmacy
  • Conway, AR
  • NPI 1487523049
  NPD tax ID

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1588077283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 HOGAN LN STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HOGAN LN STE 10",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347959",
            "telephone_number": "501-328-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "WIRGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "501-328-3282",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jane Cornell, OT
• Cornerstone ABA Services
• Cornerstone Caregiving East LLC
• Cornerstone Pharmacy Conway, LLC
• Cornerstone Pharmacy Conway, LLC
• Ashley Cornett, MS, RDN, LD
• Ashley Cornwall
• Corporate MD, PLLC
• Mary Corry, RECOVERY ASSISTANT
• McKenzie Lauren Cotton, APRN, FNP-C

• Community/Retail Pharmacy in Conway, AR
• Providers in Conway, 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 Jun 10, 2014; 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.