Cornerstone Pharmacy Otter Creek LLC
NPI 1568892164ActiveOrganization· Pharmacy· Little Rock, AR
Pharmacy in Little Rock, Arkansas, registered in NPPES in November 2013. The authorized official on file is Eric Lee Shelley, PHARMD, Pic. Medicare paid $28,988 for services to 121 patients in 2024.
Overview
| NPI | 1568892164 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2013 |
| Last updated in NPPES | Sep 22, 2022 |
| Certified by provider | Sep 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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 DME Supplier - Pharmacy (AR); Part B Supplier - Mass Immunization (Roster Biller Only) (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 121 |
|---|---|
| Services billed | 396 across 11 procedure codes |
| Paid by Medicare | $28,988 |
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