Active NPI
Cassie Marie Kokoszka, PHARMD
- Pharmacist
- Ooltewah, TN
National Provider Identifier
1588072060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42745
- Practice address
- 9526 Apison Pike Ste 100
Ooltewah, TN 37363-9578 - Phone
- (423) 615-6004
- NPI assigned
- Jul 28, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20344 | OK | |
| Pharmacist | 183500000X | 0202221189 | VA | |
| Pharmacist | 183500000X | PD16524 | AR | |
| Pharmacist | 183500000X | 24443 | NC | |
| Pharmacist | 183500000X | 42745 | TN | Primary |
Addresses
Primary practice location
9526 Apison Pike Ste 100
Ooltewah, TN 37363-9578
Mailing address
9526 Apison Pike Ste 100
Ooltewah, TN 37363-9578
Phone (423) 615-6004
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 |
|---|---|---|---|
| PD16524 | AR | MD | Pharmacist |
| 20344 | OK | MD | Pharmacist |
| 42745 | TN | MD | Pharmacist |
| 0202221189 | VA | MD | Pharmacist |
| 24443 | NC | MD | Family Medicine Physician |
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.
-
- Pharmacy
- Ooltewah, TN
- NPI 1205563772
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1588072060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9526 APISON PIKE STE 100",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639578",
"telephone_number": "423-615-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9526 APISON PIKE STE 100",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639578",
"telephone_number": "423-615-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKOSZKA",
"first_name": "CASSIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "20344",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202221189",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16524",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24443",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.