Cornerstone Pharmacy of Bella Vista LLC
NPI 1043546799ActiveOrganization· Pharmacy· Bella Vista, AR
Pharmacy in Bella Vista, Arkansas, registered in NPPES in October 2009. The authorized official on file is James Graham, PH.D., PHARM. D, Ceo, Owner. Medicare paid $83,300 for services to 350 patients in 2024.
Overview
| NPI | 1043546799 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 29, 2009 |
| Last updated in NPPES | Dec 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | AR20616 | AR |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 350 |
|---|---|
| Services billed | 1,082 across 10 procedure codes |
| Paid by Medicare | $83,300 |
Other Pharmacy providers in Bella Vista
- 1396151403
- 1245245513