Patrick M. Casey, RPH

Individual provider Active NPI Pharmacist · Massena, NY

NPI 1659660702 · NPPES record last updated Mar 29, 2011

Key facts

NPI
1659660702
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
036514 (NY)
Practice address
87 Main St.
Massena, NY 13662-1972
Phone
(315) 250-9018
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
036514NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 036514 NY Yes

Addresses

Primary practice location

87 Main St.
Massena, NY 13662-1972

Mailing address

87 Main St
Massena, NY 13662-1972
Phone (315) 250-9018

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 29, 2011.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1659660702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621972",
            "telephone_number": "315-250-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST.",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621972",
            "telephone_number": "315-250-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "PATRICK",
        "middle_name": "M.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "036514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

All providers in Massena, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.