Cassondra M White, PHARM.D.
Individual provider Active NPI Pharmacist · Bruceton Mills, WV
NPI 1033442199 · NPPES record last updated Sep 8, 2009
Key facts
- NPI
- 1033442199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18894 (IA)
- Practice address
- 1 Skyview Dr
SFF Admin BLG Room Ao-149
Bruceton Mills, WV 26525-0450 - Phone
- (304) 379-5515
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18894 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18894 | IA | Yes |
Addresses
Primary practice location
1 Skyview Dr
SFF Admin BLG Room Ao-149
Bruceton Mills, WV 26525-0450
Mailing address
PO Box 450
SFF Admin BLG Room Ao-149
Bruceton Mills, WV 26525-0450
Phone (304) 379-5515
Other providers in Bruceton Mills, WV
- Randall Walls Jr.
- Samantha Walls
- Vanessa S Watring
- West Virginia University Medical Corporation
- Western Maryland Health Care Corporation
- Timothy Gary Wigal
- Ashlee Williams
- Angela Wilt
- Beverly Louise Wolfe
- Michele L Wotring
All providers in Bruceton Mills, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.