Provider Demographics
NPI:1225444532
Name:CORNERSTONE CARE, INC.
Entity Type:Organization
Organization Name:CORNERSTONE CARE, INC.
Other - Org Name:CORNERSTONE CARE COMMUNITY PHARMACY 001
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:THERON
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-207-3488
Mailing Address - Street 1:120 LOCUST AVE EXT
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MT MORRIS
Mailing Address - State:PA
Mailing Address - Zip Code:15349-1355
Mailing Address - Country:US
Mailing Address - Phone:724-324-5555
Mailing Address - Fax:724-324-5557
Practice Address - Street 1:120 LOCUST AVE EXT STE 2
Practice Address - Street 2:
Practice Address - City:MT MORRIS
Practice Address - State:PA
Practice Address - Zip Code:15349-1355
Practice Address - Country:US
Practice Address - Phone:724-324-5555
Practice Address - Fax:724-324-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4824713336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2144324OtherPK