Cassidy Dare Elmore, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30534 Issued in NC

Practice address

4003 W Vernon Ave
Kinston, NC 28504-9674

Phone

(252) 559-1121

NPI assigned

Aug 17, 2021

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

Other names 1

• Cassidy Dare Elmore Professional name

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
  • Kinston, NC
  • NPI 1013355098
  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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1316613623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 SARGETT BROWN RD",
            "city": "DEEP RUN",
            "state": "NC",
            "postal_code": "285259661",
            "telephone_number": "252-526-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285049674",
            "telephone_number": "252-559-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CASSIDY",
        "middle_name": "DARE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIDY",
            "last_name": "ELMORE",
            "middle_name": "DARE",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robin Edwards, DDS
• Tracie Edwards, PTA
• Edwin B Cooper, Jr MD PA
• Elizabeth B Saylors, Lpa PLLC
• Rickie Wade Ellis, M.D.
• Claire Eloshway, MSN APRN AGNP-C
• Emerge Family Care Inc
• Emerge Family Care Inc
• Emergency Medicine Physicians of Lenoir County PLLC
• Empowered 4 Success

• Pharmacist in Kinston, NC
• Providers in Kinston, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.