Organization Active NPI

Cornerstone Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Fayetteville, AR
National Provider Identifier
1629377742
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20645 Issued in AR
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

Updated by the provider on Jun 29, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
190028407MedicaidAR
201829716MedicaidAR
2129471OtherPK

Other names 2

  • Cornerstone Specialty Pharmacy LLC Doing business as
  • Heartland Pharmacy Fayetteville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Cornerstone Specialty Pharmacy LLC1450 E Zion Rd, Fayetteville, AR 72703-4988(479) 444-7200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 9, 2013

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.