JUSTIN CORNETT (NPI# 1518231992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518231992 |
| Entity Type | Individual |
| Full Name | JUSTIN CORNETT |
| Credential | RPH |
| Practice Address |
4724 Grumman St Anchorage AK 99507-1516 |
| Mailing Address |
2421 E Tudor Rd Ste 107 Anchorage AK 99507-1166 |
| Practice Telephone | 9072239220 |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1483 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074633 | Justin Cornett | Pharmacist | 1600 Leestown Rd Ste 150, Lexington, KY 40511-2136 | 2020-05-11 |
| 1548735657 | Justin Woodrow Cornett | Case Manager/Care Coordinator | 1134 Jackson Pike, Gallipolis, OH 45631-2600 | 2018-10-04 |
| 1912486499 | Justin Ross Cornett | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2018-08-07 |
| Street Address |
4724 GRUMMAN ST |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487122438 | Camtu Nguyen | Pharmacist | 8461 Berry Patch Dr, Anchorage, AK 99502-7265 | 2018-11-07 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1891241121 | Reid Grobe | Pharmacist | 4353 Lake Otis Pkwy, Anchorage, AK 99508 | 2016-08-28 |
| 1801349519 | Joo Hye Pak | Pharmacist | 4320 Diplomacy Dr Ste 1203, Anchorage, AK 99508-5925 | 2016-07-28 |
| 1982076790 | Chad Vincent Lamoureux | Pharmacist | 501 W International Airport Rd Ste 5, Anchorage, AK 99518-1106 | 2015-10-20 |
| 1215319207 | Trevor W Embry | Pharmacist | 725 E Northern Lights Blvd, Anchorage, AK 99503 | 2015-06-25 |
| 1407251242 | Nathan Jensen | Pharmacist | 5600 Debarr Rd Ste100, Anchorage, AK 99504 | 2014-10-22 |
| 1407256357 | Kayli Ellingson | Pharmacist | 7020 Northwood Drive, 102, Anchorage, AK 99502 | 2014-08-28 |
| 1609275395 | Reed Supe | Pharmacist | 725 E. Northern Lights Blvd, Anchorage, AK 99503 | 2014-08-19 |
| 1003224189 | Kelly Cutrer | Pharmacist | 12045 Brandon St, Anchorage, AK 99515 | 2014-08-01 |
| Find all providers in ANCHORAGE | ||||
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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.