Organization · Type 2 NPI

Cornerstone Healthcare PA

Non-Pharmacy Dispensing Site · Thomasville, NC

NPI number 1043617848 Active

Practice location

201 W Holly Hill Rd
Thomasville, NC 27360-5738

Call (336) 475-9164 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	27186 (NC)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

9 other providers at this address

NPI record

NPI: 1043617848
Entity type: Organization (Type 2)
Issued: Nov 24, 2014
Last updated: Nov 24, 2014
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Cornerstone Thomasville Family Practice · doing business as

Authorized official

Kenny Heine
VP of Operations
(858) 964-1506

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1043617848

Cornerstone Healthcare PA's National Provider Identifier is 1043617848, issued on Nov 24, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Thomasville, NC. The record was last updated on Nov 24, 2014.