Cassie Colleen Lacey, PHARMD.
Individual provider Active NPI Pharmacist · Canton, NC
NPI 1700901634 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700901634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18537 (NC)
- Practice address
- 123 Park St
Canton, NC 28716-4319 - Phone
- (828) 235-8414
- Fax
- (828) 235-9196
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18537 | NC | MD | Pharmacist |
Interoperability endpoints
- cassielacey@stonycreekpharmacy.libertysoftwaredirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18537 | NC | Yes |
Addresses
Primary practice location
123 Park St
Canton, NC 28716-4319
Mailing address
1218 Cranbrook Dr
Arden, NC 28704-9671
Phone (828) 808-2421
Other providers in Canton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.