Casey Elizabeth Koester, PHARMD
Individual provider Active NPI Pharmacist · Fort Recovery, OH
NPI 1164065561 · NPPES record last updated Oct 18, 2019
Key facts
- NPI
- 1164065561
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03237172 (OH)
- Practice address
- 102 N Wayne St
Fort Recovery, OH 45846-8059 - Phone
- (419) 375-2323
- Fax
- (419) 375-4488
- NPI assigned
- Oct 18, 2019
- 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 |
|---|---|---|---|
| 26027463A | IN | MD | Pharmacist |
| 03237172 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26027463A | IN | |
| Pharmacist | 183500000X | 03237172 | OH | Yes |
Addresses
Primary practice location
102 N Wayne St
Fort Recovery, OH 45846-8059
Mailing address
306 E College St
Coldwater, OH 45828-1825
Phone (567) 644-4848
Other providers in Fort Recovery, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2019. 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.