Individual provider Active NPI

Eddie Casias Jr.

  • Pharmacist
  • Amarillo, TX
National Provider Identifier
1306499116
Registry record updated Jul 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
64746 Issued in TX
Practice address
3552 S Soncy Rd
Amarillo, TX 79119-6672
Phone
(806) 467-6815
NPI assigned
Jul 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64746 TX Primary

Addresses

Primary practice location

3552 S Soncy Rd
Amarillo, TX 79119-6672

Mailing address

120 Ruidoso TRL
Amarillo, TX 79108-1212
Phone (806) 220-9999

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

State licenses

LicenseStateTypeSpecialty
64746TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1306499116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 RUIDOSO TRL",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791081212",
            "telephone_number": "806-220-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196672",
            "telephone_number": "806-467-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASIAS",
        "first_name": "EDDIE",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "64746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; 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.