CORNELLS PHARMACY LLC (NPI# 1023014255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023014255 |
| Entity Type | Organization |
| Organization Name | CORNELLS PHARMACY LLC |
| Other Organization Name | CORNELLS PHARMACY |
| Practice Address |
140 Mansfield Ave Shelby OH 44875-1833 |
| Mailing Address |
Po Box 645 Shelby OH 44875-0645 |
| Practice Telephone | 4193472033 |
| Practice Fax Number | 4193472053 |
| Mailing Telephone | 4193472033 |
| Mailing Fax Number | 4193472053 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | MARCIA TRISKA (MANAGER) |
| Authorized Official Telephone | 4193742033 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021274650 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2256320 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3669554 | 01 |
| Other Name | Type Code |
|---|---|
| CORNELLS PHARMACY | Doing Business As Name - Organization |
| Street Address |
140 MANSFIELD AVE |
| City | SHELBY |
| State | OH |
| Zip Code | 44875-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801923537 | Dawn M Wechter | Pharmacist | 140 Mansfield Ave, Shelby, OH 44875-1833 | 2007-02-28 |
| 1427184498 | Mark Evans Reed | Pharmacist | 140 Mansfield Ave, Shelby, OH 44875-1833 | 2007-02-26 |
| 1922134980 | Marcia Ann Triska | Pharmacist | 140 Mansfield Ave, Shelby, OH 44875-1833 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1801397138 | Stephanie L Kamp | Social Worker | 29 Steele Ave, Shelby, OH 44875 | 2018-02-22 |
| 1164956744 | Brandy Brown | Licensed Practical Nurse | 2775 St. Rt. 39, Shelby, OH 44875 | 2017-04-20 |
| 1306229281 | Spencer Blevins | Specialist/Technologist | 7025 State Route 61 N, Shelby, OH 44875 | 2015-07-09 |
| 1194141150 | Karen Rittenhouse | Occupational Therapist | 109 Auburn Ave., Auburn Elementary, Shelby, OH 44875 | 2014-03-13 |
| 1467877100 | Adrianne Stumbo | Licensed Practical Nurse | 2708 Holtz Rd, Shelby, OH 44875 | 2014-03-04 |
| 1730452608 | Amy Marie Weiner | Community Health Worker | 225 West Main Street, Shelby, OH 44875 | 2012-02-22 |
| 1093038218 | Susan K Mcfarland | Licensed Practical Nurse | 77 Grand Blvd Ext, Shelby, OH 44875 | 2010-03-02 |
| 1427289362 | Mary Catherine Finnegan | Physical Therapy Assistant | 60 Grand Blvd Apt 1, Shelby, OH 44875 | 2009-07-27 |
| Find all providers in zip 44875 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972776573 | Shelby Drugstore, Inc. | Pharmacy | 701-1 East Grover Street, Shelby, NC 28150 | 2008-04-04 |
| 1548395825 | Shelby Drug Co Inc Hwy 61 South | Pharmacy | 1211 Broadway Hwy 61 So, Shelby, MS 38774 | 2007-02-23 |
| 1972606663 | North Carolina Cvs Pharmacy LLC | Pharmacy | 105 E College Ave, Shelby, NC 28152-9543 | 2006-09-07 |
| 1649683913 | Heather Ruhl | Pharmacy | 11 Mansfield Ave, Shelby, OH 44875-1367 | 2014-06-04 |
| 1871928325 | Ingles Markets Inc | Pharmacy | 1818 W Dixon Blvd, Shelby, NC 28152-4351 | 2013-09-03 |
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|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.