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CORNERSTONE PHARMACY OTTER CREEK LLC
NPI 1174246284
Pharmacy - Long Term Care Pharmacy in Little Rock, AR

Active since September 22, 2022CLIA 04D2250284 · Waiver
10320 STAGECOACH RD, LITTLE ROCK, AR 72210(501) 455-1900(501) 455-0500 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cornerstone Pharmacy Otter Creek Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE PHARMACY OTTER CREEK LLC (NPI 1174246284) is a healthcare organization registered as a long term care pharmacy in Little Rock, Arkansas and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Eric Lee Shelley, Pic, as its authorized official.

NPPES Registry Identity

NPI1174246284
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCORNERSTONE PHARMACY OTTER CREEK LLC
Location Address10320 STAGECOACH RDLittle Rock, AR 72210-5746
Mailing Address10320 Stagecoach RdLittle Rock, AR 72210-5746 · (501) 455-1900 · Fax (501) 455-0500
Phone(501) 455-1900
Fax(501) 455-0500
Organization SubpartNo
Authorized OfficialEric Lee ShelleyPic · (501) 455-1900
Enumeration DateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
✔ NPI 1174246284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
10320 STAGECOACH RD, Little Rock, AR 72210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2250284

Cornerstone Pharmacy At Otter Creek · Little Rock, AR
Active · expires Jan 25, 2028
CLIA Number04D2250284
Laboratory TypePharmacy
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorEric L. Shelley
Laboratory Phone(501) 455-1900
Laboratory LocationCornerstone Pharmacy At Otter Creek10320 Stagecoach Road, Little Rock, AR 72210
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Cornerstone Pharmacy Otter Creek carries, from the Medicare DMEPOS supplier directory.

Cornerstone Pharmacy Otter Creek

DMEPOS supplier · Little Rock, AROperated by Cornerstone Pharmacy Otter Creek LLC
⋮

Does not accept Medicare assignment

Cornerstone Pharmacy Otter Creek has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20478125
Medicare Participant SinceMay 16, 2016
Supplier Location10320 Stagecoach RdLittle Rock, AR 72210
Phone(501) 455-1900
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUPERMARKET INVESTORS INC
Pharmacy
10320 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-8080
PAISLEY EMERSON PHARM.D.
Pharmacist
10320 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-1900
DR. ERIC SHELLEY PHARMD
Pharmacist
10320 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-1900
CORNERSTONE PHARMACY OTTER CREEK LLC
Pharmacy
10320 STAGECOACH RD
LITTLE ROCK, AR 72210
Pulaski County (501) 455-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Pharmacy Otter Creek LLC's NPI number?

The NPI number for Cornerstone Pharmacy Otter Creek LLC is 1174246284. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Cornerstone Pharmacy Otter Creek LLC located?

Cornerstone Pharmacy Otter Creek LLC is located at 10320 Stagecoach Rd, Little Rock, AR 72210. The listed phone number is (501) 455-1900.

What is Cornerstone Pharmacy Otter Creek LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Cornerstone Pharmacy Otter Creek LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Cornerstone Pharmacy Otter Creek does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Cornerstone Pharmacy Otter Creek LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2250284) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cornerstone Pharmacy Otter Creek LLC accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 10 other insurers list Cornerstone Pharmacy Otter Creek LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cornerstone Pharmacy Otter Creek LLC was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.