Provider Demographics
NPI:1811142037
Name:CORNERSTONE HEALTH VENTURES LLC
Entity type:Organization
Organization Name:CORNERSTONE HEALTH VENTURES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-953-0604
Mailing Address - Street 1:34099 MELINZ PKWY
Mailing Address - Street 2:UNIT G
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-4041
Mailing Address - Country:US
Mailing Address - Phone:440-953-0604
Mailing Address - Fax:440-953-0943
Practice Address - Street 1:34099 MELINZ PKWY
Practice Address - Street 2:UNIT G
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-4041
Practice Address - Country:US
Practice Address - Phone:440-953-0604
Practice Address - Fax:440-953-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336I0012X
OH0219143503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3677816OtherNCPDP PROVIDER IDENTIFICATION NUMBER