Active NPI
Judith Zock Casey, R PH
- Pharmacist
- Portage, PA
National Provider Identifier
1720129299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP029958L
- Practice address
- 619 Main St
Portage, PA 15946-1539 - Phone
- (814) 736-4530
- NPI assigned
- Feb 9, 2007
- 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 | RP029958L | PA | Primary |
Addresses
Primary practice location
619 Main St
Portage, PA 15946-1539
Mailing address
174 Apple Dr
Cresson, PA 16630-1654
Phone (814) 886-8825
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP029958L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720129299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 APPLE DR",
"city": "CRESSON",
"state": "PA",
"postal_code": "166301654",
"telephone_number": "814-886-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 MAIN ST",
"city": "PORTAGE",
"state": "PA",
"postal_code": "159461539",
"telephone_number": "814-736-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "JUDITH",
"middle_name": "ZOCK",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029958L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.