Cornerstone Pharmacy, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

2001024190 Issued in MO

Legal business name

CORNERSTONE PHARMACY, INC

Practice address

1216 E State Route 72
Rolla, MO 65401-3938

Phone

(573) 426-5700

NPI assigned

Dec 11, 2006

Last updated

Mar 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Richard Sands, RPH

Title

President

Phone

(573) 426-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1609936897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 E STATE ROUTE 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013938",
            "telephone_number": "573-426-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 E STATE ROUTE 72",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013938",
            "telephone_number": "573-426-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SANDS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-426-5700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2001024190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606181600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Rolla, MO
• Providers in Rolla, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.