Individual provider Active NPI

Cassandra K Devine, PHARMD

  • Pharmacist
  • Omaha, NE
National Provider Identifier
1588267264
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16930 Issued in NE
Practice address
4001 N 132ND St
Omaha, NE 68164-1839
Phone
(402) 431-9161
NPI assigned
Nov 17, 2020
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2020029138 MO
Pharmacist 183500000X 6828 SD
Pharmacist 183500000X 24046 IA
Pharmacist 183500000X 16930 NE Primary

Addresses

Primary practice location

4001 N 132ND St
Omaha, NE 68164-1839

Mailing address

1831 Longview St Apt 316
Papillion, NE 68133-2584
Phone (816) 604-9278

Other practice location 1

12500 K Plz
Omaha, NE 68137-2207
Phone (402) 334-3436

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

LicenseStateTypeSpecialty
6828SDMDClinical Social Worker
24046IAMDPharmacist
2020029138MOMDPharmacist
16930NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1588267264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 LONGVIEW ST APT 316",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332584",
            "telephone_number": "816-604-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 N 132ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681641839",
            "telephone_number": "402-431-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 K Plz",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372207",
            "country_code": "US",
            "telephone_number": "402-334-3436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "CASSANDRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2020029138",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "6828",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24046",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.