Peter Casey Enterprises LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PETER CASEY ENTERPRISES LLC

Doing business as

Brian's Pharmacy

Practice address

4201 E Kiehl Ave
Sherwood, AR 72120-3541

Phone

(501) 392-6412

Fax

(501) 819-0081

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian Koesy, PHARM.DNPI 1558763334

Title

Pharmacist

Phone

(501) 392-6412

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brian's Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Koesy, PHARM.D

  • Pharmacist
  • Sherwood, AR
  • NPI 1558763334
  NPD Authorized official

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1598167280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203541",
            "telephone_number": "501-392-6412",
            "fax_number": "501-819-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 E KIEHL AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721203541",
            "telephone_number": "501-392-6412",
            "fax_number": "501-819-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER CASEY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "KOESY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "501-392-6412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206317407",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brian's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.