Christine Ann Cassidy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS19364 Issued in FL

Practice address

2475 US Highway 1
Mims, FL 32754-3874

Phone

(321) 267-1788

Fax

(321) 267-3044

NPI assigned

Jan 9, 2013

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

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
  • Mims, FL
  • NPI 1457534877
  NPD
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Melbourne, FL
  • NPI 1689613457
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1346587474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 US HIGHWAY 1",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327543874",
            "telephone_number": "321-267-1788",
            "fax_number": "321-242-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 US HIGHWAY 1",
            "city": "MIMS",
            "state": "FL",
            "postal_code": "327543874",
            "telephone_number": "321-267-1788",
            "fax_number": "321-267-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS19364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Altiery
• Debra Lynn Baker
• Behavior Education Language & Lifeskills, Inc.
• Gail N Brandt, PTA
• Suzanne Comer, OTR/L
• David Willis DO PA
• Sawn Davis, PTA
• Hana Desoff, PHARM.DR.
• Jamika Dibidad

• Pharmacist in Mims, FL
• Providers in Mims, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.