Edwin Scott Cornelius, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

14587 Issued in AL

Practice address

1433 3Rd Street S.W
Attalla, AL 35954-0490

Phone

(256) 538-5850

Fax

(256) 538-1860

NPI assigned

Mar 16, 2007

Last updated

Dec 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medi-Age Pharmaceuticals Inc

  dba Rick's Discount Drugs

  • Community/Retail Pharmacy
  • Attalla, AL
  • NPI 1245344456
  NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1609900042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ARROW WOOD LN",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359018611",
            "telephone_number": "256-442-9446",
            "fax_number": "256-538-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 3RD STREET S.W",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359540490",
            "telephone_number": "256-538-5850",
            "fax_number": "256-538-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "EDWIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breakthrough Beginnings, LLC.
• Jason Paul Burgess, PHARM. D.
• C.R. of Attalla, LLC (Attalla Health and Rehab)
• Alicia Cain, PHARMD
• Robert Michael Campbell, M.S.
• Vinicia Lynn Cortez, PHARMD
• Jennifer Davenport
• Mary Teresa Dawson, LCSW
• Molly Beth Dawson, MA
• Nicole Dumas, MSW

• Pharmacist in Attalla, AL
• Providers in Attalla, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.