Active NPI
Noel Regina Cassidy, PHARMD, LCSW
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1285884510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19881
- Practice address
- 215 S Parkside Dr
Colorado Springs, CO 80910-3131 - Phone
- (719) 327-6565
- Fax
- (719) 327-6566
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1077 | CO | |
| Pharmacist | 183500000X | 19881 | CO | Primary |
| Pharmacist | 183500000X | 70436 | CA |
Addresses
Primary practice location
215 S Parkside Dr
Colorado Springs, CO 80910-3131
Mailing address
5472 E 140TH PL
Thornton, CO 80602-8914
Phone (303) 847-2861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1077 | CO | MD | Professional Counselor |
| 70436 | CA | MD | Pharmacist |
| 19881 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1285884510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5472 E 140TH PL",
"city": "THORNTON",
"state": "CO",
"postal_code": "806028914",
"telephone_number": "303-847-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S PARKSIDE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103131",
"telephone_number": "719-327-6565",
"fax_number": "719-327-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "NOEL",
"middle_name": "REGINA",
"name_prefix": "Dr.",
"credential": "PHARMD, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "1077",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19881",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.