Active NPI
Cornerstone Specialty Pharmacy LLC
- Community/Retail Pharmacy
- Fayetteville, AR
National Provider Identifier
1629377742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR20645
- Legal business name
- CORNERSTONE SPECIALTY PHARMACY LLC
- Doing business as
- Cornerstone Specialty Pharmacy LLC
Heartland Pharmacy Fayetteville - Practice address
- 1450 E Zion Rd Ste 1
Fayetteville, AR 72703-4988 - Phone
- (479) 444-7200
- Fax
- (479) 444-7205
- NPI assigned
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zach Holderfield, PHARMD
- Title
- Partner
- Phone
- (479) 444-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | AR20645 | AR | Primary |
Addresses
Primary practice location
1450 E Zion Rd Ste 1
Fayetteville, AR 72703-4988
Mailing address
1450 E Zion Rd Ste 1
Fayetteville, AR 72703-4988
Phone (479) 444-7200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190028407 | Medicaid | AR | |
| 201829716 | Medicaid | AR | |
| 2129471 | Other | PK |
Other names 2
- Cornerstone Specialty Pharmacy LLC
- Heartland Pharmacy Fayetteville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130506000424 | AR | DME Supplier - Pharmacy | 0042457392 | Practice locations: Fayetteville, AR |
| O20201130001984 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042457392 | Practice locations: Fayetteville, AR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cornerstone Specialty Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
824 Salem Rd
Conway, AR 72034
1450 E Zion Rd
Ste 1
Fayetteville, AR 72703
Phone (479) 444-7200
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Fayetteville, AR
- NPI 1871814426
-
- Pharmacist
- Fayetteville, AR
- NPI 1457948069
-
- Pharmacist
- Rogers, AR
- NPI 1922695535
-
- Pharmacist
- Fayetteville, AR
- NPI 1023606621
-
- Pharmacist
- Farmington, AR
- NPI 1275485047
-
- Pharmacist
- Fayetteville, AR
- NPI 1649528746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1629377742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 E ZION RD STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034988",
"telephone_number": "479-444-7200",
"fax_number": "479-444-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 E ZION RD STE 1",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034988",
"telephone_number": "479-444-7200",
"fax_number": "479-444-7205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE SPECIALTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-16",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "HOLDERFIELD",
"authorized_official_first_name": "ZACH",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "479-444-7200",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR20645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190028407",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201829716",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2129471",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Specialty Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heartland Pharmacy Fayetteville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.