Cornerstone Compounding Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51660 Issued in CA

Legal business name

CORNERSTONE COMPOUNDING PHARMACY INC

Practice address

1131 N Pacific Ave
Glendale, CA 91202-2358

Phone

(818) 550-1522

Fax

(877) 245-3137

NPI assigned

Oct 24, 2013

Organization subpart

No

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

Authorized official

Name

Davin Deb

Title

Operations

Phone

(818) 550-1522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Compounding Pharmacy, Inc. Doing business as

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1700214079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-550-1522",
            "fax_number": "877-245-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N PACIFIC AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022358",
            "telephone_number": "818-550-1522",
            "fax_number": "877-245-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMPOUNDING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "DEB",
        "authorized_official_first_name": "DAVIN",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "818-550-1522"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2142584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Compounding Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Corleto
• Mackenzie Corliss
• Xochitl Sarai Cornejo
• Stephanie Cornelio
• James P Cornell, M.D.
• Jennifer Corona
• Edmund Montesa Corpuz, ND
• Maria Norma Correa
• Tiana Loren Cortada, BA, MS
• Julissa Yvonne Cortes, PSY.D.

• Community/Retail Pharmacy in Glendale, CA
• Providers in Glendale, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.