Kassandra Mason, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051299720 Issued in IL

Practice address

1600 E Jackson St
Macomb, IL 61455-2530

Phone

(309) 833-3750

NPI assigned

Oct 13, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467050401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552530",
            "telephone_number": "309-255-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552530",
            "telephone_number": "309-833-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051299720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1420pharmacymgr@hyvee.com",
            "affiliation": "Y",
            "endpointDescription": "Retail pharmacy location",
            "affiliationName": "Hy-Vee Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Processing prescriptions or MTMs/immunizations",
            "address_1": "1600 E Jackson St",
            "city": "Macomb",
            "state": "IL",
            "country_code": "US",
            "postal_code": "614552530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• McDonough County Hospital District

• Pharmacist in Macomb, IL
• Providers in Macomb, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.