Allyssa Cassilly, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-15445 Issued in MS

Practice address

7030 Hacks Cross Rd
Olive Branch, MS 38654-4471

Phone

(662) 890-8644

NPI assigned

Dec 7, 2020

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

State licenses

Practice roles

Locations

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

• Walgreen Co

  • Pharmacy
  • Olive Branch, MS
  • NPI 1558568741
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1275139123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 HACKS CROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 HACKS CROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544471",
            "telephone_number": "662-890-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSILLY",
        "first_name": "ALLYSSA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-15445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nikita Carper, NP
• Natalie Carruth, DDS
• Carter Collaborative Counseling
• Heather Carter, LPC-S
• Tyrice Cartwright
• CBMB LLC
• Deanza Chaffin, NP-C
• Rick A Chambers, PHARMD
• Champion Transportation, LLC
• Lisa Chandler, M.D.

• Pharmacist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.