Active NPI
Eric R Cornell, PHARMD
- Pharmacist
- Shelby, NC
National Provider Identifier
1831328160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19849
- Practice address
- 300 E Grover St
Shelby, NC 28150-3920 - Phone
- (704) 482-4429
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03335098 | OH | |
| Pharmacist | 183500000X | PST.023343 | LA | |
| Pharmacist | 183500000X | 37448 | SC | |
| Pharmacist | 183500000X | 0202218417 | VA | |
| Pharmacist | 183500000X | 19849 | NC | Primary |
Addresses
Primary practice location
300 E Grover St
Shelby, NC 28150-3920
Mailing address
401 W 6TH Ave
Gastonia, NC 28052-4033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST.023343 | LA | MD | Pharmacist |
| 19849 | NC | MD | Pharmacist |
| 03335098 | OH | MD | Pharmacist |
| 0202218417 | VA | MD | Pharmacist |
| 37448 | SC | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1831328160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W 6TH AVE",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280524033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503920",
"telephone_number": "704-482-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "ERIC",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03335098",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "PST.023343",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37448",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218417",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
- Katlyn Dale Connor
- Continuum Care Solutions, LLC
- Continuum Care Solutions, LLC
- Brianna Cook, FNP
- Mark William Cook, DC
- County of Cleveland North Carolina (Cleveland County Dental Clinic)
- County of Cleveland North Carolina (Cleveland County EMS)
- County of Cleveland North Carolina (Cleveland Co. Health Dept CA Case Mgmt)
- County of Cleveland North Carolina (Cleveland County Health Department)
- County of Cleveland North Carolina (CCHD HIV AIDS Case Management Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.