Active NPI
Cornerstone Pharmacy LLC
Doing business as Cornerstone Pharmacy
- Community/Retail Pharmacy
- Appalachia, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CORNERSTONE PHARMACY LLC
- Doing business as
- Cornerstone Pharmacy
- Practice address
- 205 Kilbourne Avenue
Appalachia, VA 24216 - Phone
- (276) 565-3434
- NPI assigned
- Jan 14, 2009
- Last updated
- Dec 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leonard Dwight Jessee, PHARM.D.
- Title
- Owner/Pharmacist
- Phone
- (276) 565-3434
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
205 Kilbourne Avenue
Appalachia, VA 24216
Mailing address
PO Box 469
Appalachia, VA 24216-0469
Phone (276) 565-3434
Other names 1
- Cornerstone Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111227000436 | VA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8022217017 | Practice locations: Appalachia, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2254513 | Cornerstone Pharmacy | Certificate of waiver | Mar 3, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Appalachia, VA
- NPI 1073720132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261008000000",
"number": "1992942841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 469",
"city": "APPALACHIA",
"state": "VA",
"postal_code": "242160469",
"telephone_number": "276-565-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 KILBOURNE AVENUE",
"city": "APPALACHIA",
"state": "VA",
"postal_code": "24216",
"telephone_number": "276-565-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2009-12-17",
"status": "A",
"authorized_official_last_name": "JESSEE",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "DWIGHT",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "276-565-3434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Appalachia, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.