Caseys Prescription Pad Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031469 Issued in NY

Legal business name

CASEYS PRESCRIPTION PAD INC

Doing business as

Casey's Prescription Pad, Inc.

Practice address

5844 Southwestern Blvd Ste 300
Hamburg, NY 14075

Phone

(716) 926-9044

Fax

(716) 926-9028

NPI assigned

Sep 24, 2012

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather DerckNPI 1073799466

Title

President

Phone

(716) 926-9044

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Casey's Prescription Pad, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Heather Derck, R.PH.

  • Pharmacist
  • Hamburg, NY
  • NPI 1073799466
  NPD (past) Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1205187739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD STE 300",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753684",
            "telephone_number": "716-926-9044",
            "fax_number": "716-926-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD STE 300",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "14075",
            "telephone_number": "716-926-9044",
            "fax_number": "716-926-9028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 Southwestern Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271209",
            "country_code": "US",
            "telephone_number": "716-926-9044",
            "fax_number": "716-926-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASEYS PRESCRIPTION PAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "DERCK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-926-9044"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03737657",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey's Prescription Pad, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casey's Prescription Pad, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Campese, OTR/L
• Titiana Theresa Carmichael
• Kelly Carriero
• Natalie Carroll, RDN
• Maureen Jane Casey, D.D.S.
• Sharyn Lee Cass, ANP
• Wendy Kathryn Castiglia Amato, LMSW
• Jessica Catras, RN
• Lisa Ann Cauley
• Susan Cavarello

• Community/Retail Pharmacy in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.

Verify at the official NPI Registry.