Individual provider Active NPI

Brian Douglas Caswell, R.PH.

  • Community/Retail Pharmacy
  • Baxter Springs, KS
National Provider Identifier
1689288391
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-13206 Issued in KS
Practice address
1920 Military Ave
Baxter Springs, KS 66713-2039
Phone
(620) 856-5555
Fax
(620) 856-3455
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-13206 KS Primary

Addresses

Primary practice location

1920 Military Ave
Baxter Springs, KS 66713-2039

Mailing address

1920 Military Ave
Baxter Springs, KS 66713-2039
Phone (620) 856-5555

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2-13206KSMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Four States Apothecary LLC Community/Retail Pharmacy Current Accepting new patients
Wolkar Drug Inc Community/Retail Pharmacy CurrentSince Sep 6, 2020 Accepting new patients

Locations

1920 Military Ave
Baxter Springs, KS 66713
Phone (620) 856-5555

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1689288391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132039",
            "telephone_number": "620-856-5555",
            "fax_number": "620-856-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132039",
            "telephone_number": "620-856-5555",
            "fax_number": "620-856-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter Springs, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.