Cornerstone Pharmacy Main LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR20837 Issued in AR

Legal business name

CORNERSTONE PHARMACY MAIN LLC

Doing business as

Cornerstone Pharmacy Main, LLC

Practice address

1701 Main St
Little Rock, AR 72206-1471

Phone

(501) 246-5451

Fax

(501) 414-8476

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

T F Kenneth Harrison

Title

Owner/President/Ao

Phone

(501) 223-8450

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cornerstone Pharmacy Main, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Tax ID family

Cornerstone Pharmacy Main LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cornerstone Pharmacy Main LLC

  • Long Term Care Pharmacy
  • Little Rock, AR
  • NPI 1912639964
  NPD tax ID

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1790139111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MAIN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061471",
            "telephone_number": "501-246-5451",
            "fax_number": "501-400-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722061471",
            "telephone_number": "501-246-5451",
            "fax_number": "501-414-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY MAIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "T F KENNETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/AO",
        "authorized_official_telephone_number": "501-223-8450"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR20837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy Main, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Pharmacy
• Cornerstone Pharmacy at Chenal LLC (Cornerstone Pharmacy at Chenal)
• Cornerstone Pharmacy at Chenal LLC
• Cornerstone Pharmacy Inc (cornerstone pharmacy)
• Cornerstone Pharmacy Inc (Cornerstone Pharmacy and Compounding)
• Cornerstone Pharmacy Main LLC
• Cornerstone Pharmacy Otter Creek LLC
• Cornerstone Pharmacy Otter Creek LLC
• Lisa Amend Cornforth, MD
• Karen A Cornwell, LCSW

• Community/Retail Pharmacy in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.