Active NPI
Cassady Inc
- Community/Retail Pharmacy
- Des Moines, IA
National Provider Identifier
1003957960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 306
- Legal business name
- CASSADY INC
- Doing business as
- CASSADY PHARMACY
- Practice address
- 3300 SW 9TH St Ste 10
Des Moines, IA 50315-7666 - Phone
- (515) 285-2474
- Fax
- (515) 285-2902
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Cassady, RPH
- Title
- Manager, Pic
- Phone
- (515) 285-2474
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 306 | IA | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
3300 SW 9TH St Ste 10
Des Moines, IA 50315-7666
Mailing address
3300 SW 9TH St Ste 10
Des Moines, IA 50315-7666
Phone (515) 285-2474
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037135 | Medicaid | IA | |
| 2026840 | Other | PK |
Other names 1
- CASSADY PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930063887 | IA | DME Supplier - Pharmacy | 3072630714 | Practice locations: Des Moines, IA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cassady Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Cassady Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Des Moines, IA
- NPI 1265573992
Locations
3300 SW 9th St
Ste 10
Des Moines, IA 50315
Phone (515) 285-2474
4505 SW 9th St
Des Moines, IA 50315
Phone (515) 287-7111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1003957960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 SW 9TH ST STE 10",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157666",
"telephone_number": "515-285-2474",
"fax_number": "515-285-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 SW 9TH ST STE 10",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503157666",
"telephone_number": "515-285-2474",
"fax_number": "515-285-2902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASSADY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "CASSADY",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "MANAGER, PIC",
"authorized_official_telephone_number": "515-285-2474",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "306",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037135",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2026840",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CASSADY PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CASSADY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.