CORNERSTONE PHARMACY, INC (NPI# 1609936897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936897 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PHARMACY, INC |
| Practice Address |
1216 E State Route 72 Rolla MO 65401-3938 |
| Practice Telephone | 5734265700 |
| Mailing Telephone | 5734265700 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-03-19 |
| Authorized Official Name | ERIC RICHARD SANDS (PRESIDENT) |
| Authorized Official Telephone | 5734265700 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2001024190 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 606181600 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CORNERSTONE PHARMACY, INC. | 123 Cricket Ln, Ornage, CT 06477 |
| Street Address |
1216 E STATE ROUTE 72 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| 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 |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1881952349 | Benedict C Anekwe | Pharmacist | 518 1st St Ne, Apt 2, Rolla, ND 58367-7204 | 2012-05-02 |
| 1174896195 | Alynda Loughridge Bradley | Pharmacist | 1605 Martin Springs Dr Ste 220b, Rolla, MO 65401-2980 | 2012-02-22 |
| 1114259454 | Heather Nelson | Pharmacist | 1003 S Bishop Ave, Rolla, MO 65401-4437 | 2010-02-11 |
| 1447430251 | Marilyn B Ekstam | Pharmacist | 708a N Pine St, Rolla, MO 65401-3138 | 2007-11-08 |
| 1063563138 | John L Keller | Pharmacist | 500 Hwy 72nd West Rolla, Hillcrest Shopping Ctr, Rolla, MO 65401 | 2007-01-16 |
| 1861577702 | Richard B. Mazanec | Pharmacist | 1108 Crinoidal Ave., Rolla, MO 65401 | 2006-10-26 |
| 1043308497 | St. John's Clinic Inc | Pharmacist | 1100 West 10th Street, Suite 150, Rolla, MO 65401 | 2006-10-11 |
| 1982716775 | Billie Fuller | Pharmacist | 1024 S. Bishop, Rolla, MO 65401 | 2006-08-31 |
| 1841304441 | Shannon Tate Welch | Pharmacist | 1113 Hauck Dr, Rolla, MO 65401-2565 | 2006-08-19 |
| Find all providers in ROLLA | ||||
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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.