Active NPI
Casey Endicott, PHARMD
- Pharmacist
- Lexington, KY
National Provider Identifier
1396175824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015098
- Practice address
- 3332 Lyon Dr
Lexington, KY 40513-1066 - Phone
- (606) 367-0336
- NPI assigned
- Nov 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 015098 | KY | Primary |
Addresses
Primary practice location
3332 Lyon Dr
Lexington, KY 40513-1066
Mailing address
3332 Lyon Dr
Lexington, KY 40513-1066
Phone (606) 367-0336
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 |
|---|---|---|---|
| 015098 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1396175824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3332 LYON DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131066",
"telephone_number": "606-367-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3332 LYON DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131066",
"telephone_number": "606-367-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDICOTT",
"first_name": "CASEY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-19",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
- Encompass Health Rehabilitation Hospital of Cardinal Hill, LLC (Cardinal Hill Rehabilitation Hospital)
- Encore Adhc, LLC
- Encore Infusion Kentucky, LLC (Encore Infusion)
- Encore Wound Care - Kentucky, LLC
- Eric Endean, MD
- Evan Lawson Endicott, PHARM.D.
- Andre Nicolas Ene, MD
- Engage Support Services, LLC
- Joy K Engblade, M.D.
- Sydney E Engelhard, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.