Active NPI
Casey Drug-a Inc
- Long Term Care Pharmacy
- Chisholm, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- CASEY DRUG-A INC
- Practice address
- 121 W Lake St
Chisholm, MN 55719-1818 - Phone
- (218) 254-3318
- NPI assigned
- Jul 22, 2019
- Last updated
- Mar 17, 2022
- 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
- Alida Erin Casey, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (218) 254-3318
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | ||
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
121 W Lake St
Chisholm, MN 55719-1818
Mailing address
121 W Lake St
Chisholm, MN 55719-1818
Phone (218) 254-3318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340560500 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200618002466 | MN | Part B Supplier - Pharmacy | 3274654819 |
1 other NPI on this enrollment Practice locations: Chisholm, MN |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Casey Drug
- Community/Retail Pharmacy
- Chisholm, MN
- NPI 1801909825
O20200618002466
National Provider Directory
National Provider Directory- Tax ID family
- Casey Drug
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Chisholm, MN
- NPI 1881906428
-
- Pharmacist
- Chisholm, MN
- NPI 1629694765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647475200000",
"number": "1043863723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W LAKE ST",
"city": "CHISHOLM",
"state": "MN",
"postal_code": "557191818",
"telephone_number": "218-254-3318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W LAKE ST",
"city": "CHISHOLM",
"state": "MN",
"postal_code": "557191818",
"telephone_number": "218-254-3318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASEY DRUG-A INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-22",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "ALIDA",
"authorized_official_middle_name": "ERIN",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "218-254-3318",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340560500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chisholm, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.