Active NPI
Paul Michael Casebolt, PHARMD
- Pharmacist
- Newark, OH
National Provider Identifier
1740715499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-1-27123
- Practice address
- 1272 W Main St Ste 401
Newark, OH 43055-2056 - Phone
- (220) 564-2570
- Fax
- (866) 291-1460
- NPI assigned
- May 1, 2017
- Last updated
- Jul 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 03-1-27123 | OH | Primary |
Addresses
Primary practice location
1272 W Main St Ste 401
Newark, OH 43055-2056
Mailing address
127 Stone Creek Dr
Granville, OH 43023-8030
Phone (740) 334-1187
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1740715499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 STONE CREEK DR",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430238030",
"telephone_number": "740-334-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1272 W MAIN ST STE 401",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552056",
"telephone_number": "220-564-2570",
"fax_number": "866-291-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEBOLT",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-01",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-1-27123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.