Randall E Casper, RPH
Individual provider Active NPI Pharmacist · Kenton, OH
NPI 1366765620 · NPPES record last updated Mar 1, 2010
Key facts
- NPI
- 1366765620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13200 (OH)
- Practice address
- 1005 E Columbus St
Kenton, OH 43326-1679 - Phone
- (419) 673-0003
- Fax
- (419) 673-9389
- NPI assigned
- Mar 1, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13200 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13200 | OH | Yes |
Addresses
Primary practice location
1005 E Columbus St
Kenton, OH 43326-1679
Mailing address
1005 E Columbus St
Kenton, OH 43326-1679
Phone (419) 673-0003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13200 | Other | OH | PHARMACY LICENSE |
Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.