Edwin Scott Cornelius, PHARMD
Individual provider Active NPI Pharmacist · Attalla, AL
NPI 1609900042 · NPPES record last updated Dec 19, 2011
Key facts
- NPI
- 1609900042
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14587 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medi-Age Pharmaceuticals Inc | Current | Accepting new patients |
Locations
1433 3rd St SW
Attalla, AL 35954
Phone (256) 538-5850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14587 | AL | Yes |
Addresses
Primary practice location
1433 3Rd Street S.W
Attalla, AL 35954-0490
Mailing address
115 Arrow Wood LN
Gadsden, AL 35901-8611
Phone (256) 442-9446
Other providers in Attalla, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.