Active NPI
Cassi Lyn Cozart, PHARMD
- Pharmacist
- Carbondale, IL
National Provider Identifier
1487565230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.306491
- Practice address
- 405 W Jackson St
Carbondale, IL 62901-1462 - Phone
- (618) 549-0721
- NPI assigned
- Sep 12, 2026
- Sex
- Female
- 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 | 051.306491 | IL | Primary |
Addresses
Primary practice location
405 W Jackson St
Carbondale, IL 62901-1462
Mailing address
4030 Rose of Sharon Rd
Galatia, IL 62935-2034
Other names 1
- Cassi Lyn Cotter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1487565230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 ROSE OF SHARON RD",
"city": "GALATIA",
"state": "IL",
"postal_code": "629352034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W JACKSON ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011462",
"telephone_number": "618-549-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZART",
"first_name": "CASSI",
"middle_name": "LYN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-12",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.306491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSI",
"last_name": "COTTER",
"middle_name": "LYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.