C V Kasiar LTD
Organization Active NPI Pharmacy · Eldorado, IL
NPI 1477664472 · NPPES record last updated Dec 6, 2010
Key facts
- NPI
- 1477664472
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 054008355 (IL)
- Legal business name
- C V KASIAR LTD
- Practice address
- 1409 Locust St
Eldorado, IL 62930-1629 - Phone
- (618) 273-8111
- Fax
- (618) 273-8165
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jason Vincent Kasiar, RPH
- Title
- Vice President
- Phone
- (618) 273-8111
Practitioners 4
-
Jason Vincent Kasiar, R. PH.
-
William Michael Basinger, R.PH.
-
Joseph Lucas Weir, PHARMD
-
Sana F Yusuf, DMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| C V Kasiar LTD |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Midwestern University College of Dental Medicine, Downers Grove, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
28463 Cozy Creek Dr
Wesley Chapel, FL 33543-6449
5728 Post Oak Blvd
Wesley Chapel, FL 33544-4008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081009000488 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880762491 | Practice locations: Eldorado, IL |
| O20100930025840 | IL | DME Supplier - Pharmacy | 4880762491 | Practice locations: Eldorado, IL |
National Provider Directory
Locations
1409 Locust St
Eldorado, IL 62930
Phone (618) 273-8111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 054008355 | IL | Yes |
Addresses
Primary practice location
1409 Locust St
Eldorado, IL 62930-1629
Mailing address
1409 Locust St
Eldorado, IL 62930-1629
Phone (618) 273-8111
Other names
- Becks Drugs A Div of
Other providers in Eldorado, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.