Active NPI
Emma Rose Casey, PHARMD
- Pharmacist
- Palm Beach Gardens, FL
National Provider Identifier
1366046591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS62231
- Practice address
- 2000 Pga Blvd Ste 5507
Palm Beach Gardens, FL 33408-2726 - Phone
- (561) 691-4991
- NPI assigned
- Nov 29, 2020
- Last updated
- Jul 28, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH238345 | MA | |
| Pharmacist | 183500000X | PS62231 | FL | Primary |
Addresses
Primary practice location
2000 Pga Blvd Ste 5507
Palm Beach Gardens, FL 33408-2726
Mailing address
103 Suffolk Dr
Royal Palm Beach, FL 33411-8262
Phone (774) 277-7085
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 |
|---|---|---|---|
| PS62231 | FL | MD | Pharmacist |
| PH238345 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| Premier Compounding Pharmacy Inc | Past | Accepting new patients |
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 Premier Custom Pharmacy
- Compounding Pharmacy
- Palm Beach Gardens, FL
- NPI 1609032259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1366046591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SUFFOLK DR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334118262",
"telephone_number": "774-277-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PGA BLVD STE 5507",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334082726",
"telephone_number": "561-691-4991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "EMMA",
"middle_name": "ROSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH238345",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS62231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.