Active NPI
Laura Casanova, RPH
- Pharmacist
- Iron Mountain, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027964
- Practice address
- 1721 S Stephenson Ave Ste a
Iron Mountain, MI 49801-3637 - Phone
- (906) 776-5419
- Fax
- (906) 776-5911
- NPI assigned
- May 11, 2020
- Last updated
- May 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302027964 | MI | Primary |
Addresses
Primary practice location
1721 S Stephenson Ave Ste a
Iron Mountain, MI 49801-3637
Mailing address
1721 S Stephenson Ave Ste a
Iron Mountain, MI 49801-3637
Phone (906) 776-5419
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027964 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickinson County Healthcare System | Current | Accepting new patients | |
| Dickinson County Healthcare System | Past | Accepting new patients |
Locations
1721 S Stephenson Ave
Ste A
Iron Mountain, MI 49801
Phone (906) 776-5392
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshfield Medical Center - Dickinson Pharmacy (Retail) and DMEPOS
- Community/Retail Pharmacy
- Iron Mountain, MI
- NPI 1316569908
-
dba Marshfield Medical Center - Dickinson Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Iron Mountain, MI
- NPI 1891751186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1346862646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 S STEPHENSON AVE STE A",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013637",
"telephone_number": "906-776-5419",
"fax_number": "906-776-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 S STEPHENSON AVE STE A",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013637",
"telephone_number": "906-776-5419",
"fax_number": "906-776-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASANOVA",
"first_name": "LAURA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
- Waldo B Carlson, MD
- William James Caron, PT
- Michelle Ann-Moraska Carpenter, DPT
- Cananidy Mae Carter, HIS
- Gina Carver, LPN
- Stacy Lynn Casanova
- Catholic Social Services
- Catholic Social Services of the U.P. (Catholic Charities of the Upper Peninsula)
- Catholic Social Services of the Upper Peninsula (Catholic Charities of the Upper Peninsula)
- Tricia Jean Cayemberg, AU.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.