Alyssa Lynne Casullo, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

054549 Issued in NY

Practice address

530 Albany St
Little Falls, NY 13365-1439

Phone

(315) 823-0016

Fax

(315) 823-7663

NPI assigned

Jun 27, 2010

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KPH Healthcare Services, Inc.

  dba Kinney Drugs#25

  • Community/Retail Pharmacy
  • St Johnsville, NY
  • NPI 1154438331
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #49

  • Community/Retail Pharmacy
  • Little Falls, NY
  • NPI 1376650556
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1194036954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ALBANY ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651439",
            "telephone_number": "315-823-0016",
            "fax_number": "315-823-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ALBANY ST",
            "city": "LITTLE FALLS",
            "state": "NY",
            "postal_code": "133651439",
            "telephone_number": "315-823-0016",
            "fax_number": "315-823-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Park Pl",
            "address_purpose": "LOCATION",
            "city": "St Johnsville",
            "state": "NY",
            "postal_code": "134521332",
            "country_code": "US",
            "telephone_number": "518-568-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASULLO",
        "first_name": "ALYSSA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-27",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "054549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Bruce, DPT
• Deepak D Buch, MD
• Kristin Burns, FNP
• Cooper Vincent Busch
• Julie A Bush, OTR/L, M.S.
• Mengxi Chen
• Nichole Christman, LPN
• City of Little Falls
• Cny Psychiatric Services PC
• Kendra Renee Coupe, OTR/L

• Pharmacist in Little Falls, NY
• Providers in Little Falls, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.