Active NPI
Cason William Wacker, PHARM. D.
- Pharmacist
- Cedar Rapids, IA
National Provider Identifier
1366565137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19809
- Practice address
- 1556 1St Ave NE
Cedar Rapids, IA 52402-5124 - Phone
- (319) 366-2239
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- 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 | 19809 | IA | Primary |
Addresses
Primary practice location
1556 1St Ave NE
Cedar Rapids, IA 52402-5124
Mailing address
700 Rosedale Dr
Center Point, IA 52213-9377
Phone (319) 849-1655
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 |
|---|---|---|---|
| 19809 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366565137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ROSEDALE DR",
"city": "CENTER POINT",
"state": "IA",
"postal_code": "522139377",
"telephone_number": "319-849-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 1ST AVE NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524025124",
"telephone_number": "319-366-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKER",
"first_name": "CASON",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.