Active NPI
Kodi Cast, PHARMD
- Pharmacist
- Saint Charles, MO
National Provider Identifier
1538445374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011027148
- Practice address
- 2329 W Clay St
Saint Charles, MO 63301-2546 - Phone
- (636) 949-6613
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- 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 | 2011027148 | MO | Primary |
Addresses
Primary practice location
2329 W Clay St
Saint Charles, MO 63301-2546
Mailing address
2329 W Clay St
Saint Charles, MO 63301-2546
Phone (636) 949-6613
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 |
|---|---|---|---|
| 2011027148 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319500800000",
"number": "1538445374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2329 W CLAY ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012546",
"telephone_number": "636-949-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2329 W CLAY ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633012546",
"telephone_number": "636-949-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAST",
"first_name": "KODI",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011027148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
- Casa D'Luxe Properties LLC (House of Health II)
- Julianne Case
- Erin Elizabeth Casey, MD
- Chalenna C. Cassell, PSY.D.
- Sandra D Cassmeyer, LPC
- Cataract & Eye Disease Specialists, Inc
- Cathedral Rock Home Care, LLC (Right At Home)
- Cathedral Rock of St Charles Inc (Blanchette Place Care Center)
- Cathedralrock
- Caulks Hill Dental LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.