Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376194134 Individual Practitioner Male Practitioner

Michael Charles Cornwall , RPH

Pharmacist • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Michael Cornwall, RPH is a registered healthcare professional specializing in Pharmacist in O Fallon, IL. Practice services are available at 21 SHALLOWBROOK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 Shallowbrook Dr

O Fallon, IL 622691214

Telephone 6189775537

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in O Fallon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
31 Specialists

Practicing in O Fallon, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 041484

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2019

Registered at 21 SHALLOWBROOK DR, O FALLON, IL 622691214 (Tel: 6189775537)

📍
Updated Business Mailing Address September 24, 2019

Registered at 21 SHALLOWBROOK DR, O FALLON, IL 622691214 (Tel: 6189775537)

👤
Provider Name / Credentials Updated September 24, 2019

Recorded as MICHAEL CORNWALL, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2019

Pharmacist (License #041484 in MO)

🟢
Initial NPI Registration & Enumeration September 24, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376194134
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2019
Last Update: September 24, 2019
Sole Proprietor: No

Mailing Address

21 Shallowbrook Dr

O Fallon, IL 622691214

Phone: 6189775537

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.