NPIMap

Organization Active NPI

Cornerstone Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Palm Desert, CA
National Provider Identifier
1669970828
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY55581 Issued in CA
Legal business name
CORNERSTONE PHARMACY SERVICES LLC
Practice address
39575 Washington St Ste 103
Palm Desert, CA 92211-4152
Phone
(760) 200-0220
Fax
(760) 200-0990
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Gregory CollinsNPI 1992232748
Title
Owner, Pharmacist
Phone
(760) 641-4796

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY55581 CA Primary

Addresses

Primary practice location

39575 Washington St Ste 103
Palm Desert, CA 92211-4152

Mailing address

39575 Washington St Ste 103
Palm Desert, CA 92211-4152
Phone (760) 200-0220

Other identifiers 1

IdentifierTypeStateIssuer
2176361OtherPK

Other names 1

  • Cornerstone Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

39575 Washington St
Ste 103
Palm Desert, CA 92211
Phone (760) 200-0220

Practitioners & affiliated clinicians

Practitioners 1

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": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1669970828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39575 WASHINGTON ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114152",
            "telephone_number": "760-200-0220",
            "fax_number": "760-200-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39575 WASHINGTON ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922114152",
            "telephone_number": "760-200-0220",
            "fax_number": "760-200-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER, PHARMACIST",
        "authorized_official_telephone_number": "760-641-4796"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY55581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.