Active NPI
Cassady Sims
- Pharmacist
- Phenix City, AL
National Provider Identifier
1619588258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18192
- Practice address
- 5301 Summerville Rd
Phenix City, AL 36867-7423 - Phone
- (334) 297-3061
- NPI assigned
- Aug 16, 2020
- Last updated
- Aug 16, 2020
- 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 | 18192 | AL | Primary |
Addresses
Primary practice location
5301 Summerville Rd
Phenix City, AL 36867-7423
Mailing address
5301 Summerville Rd
Phenix City, AL 36867-7423
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18192 | AL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5301 Summerville Rd
Phenix City, AL 36867
Phone (334) 297-3061
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1619588258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 SUMMERVILLE RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 SUMMERVILLE RD",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677423",
"telephone_number": "334-297-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "CASSADY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "18192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.