Cornerstone Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Appalachia, VA. Organization (NPI-2).
NPI number1992942841
StatusActive
Last updated in NPPESDec 17, 2009
Details
- NPI
- 1992942841
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2009
- Last updated
- Dec 17, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Cornerstone Pharmacy (Doing Business As)
Practice location
205 Kilbourne AvenueAppalachia, VA 24216
Phone 276-565-3434
Mailing address
Po Box 469Appalachia, VA 24216-0469
Phone 276-565-3434
Authorized official
Leonard Dwight Jessee
Owner/Pharmacist
2765653434
Is something wrong?
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Other Community/Retail Pharmacy providers in Appalachia, VA
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