Active NPI
Casey A Wood Harrell, PHARMD
- Pharmacist
- Long Beach, WA
National Provider Identifier
1801978739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00040220
- Practice address
- 101 Bolstad Avenue
Long Beach, WA 98631 - Phone
- (360) 642-2349
- Fax
- (360) 642-8786
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- 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 | PH00040220 | WA | Primary |
Addresses
Primary practice location
101 Bolstad Avenue
Long Beach, WA 98631
Mailing address
PO Box 1635
Long Beach, WA 98631-1635
Phone (360) 642-0740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00040220 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sagen'S Pharmacy Inc | Past | Accepting new patients | |
| Peninsula Pharmacies Inc | Past | Accepting new patients | |
| Sagen'S Pharmacy Inc | Pharmacist | Past | Accepting new patients |
| Peninsula Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Ilwaco, WA
- NPI 1255416038
-
- Community/Retail Pharmacy
- Long Beach, WA
- NPI 1275615106
-
- Long Term Care Pharmacy
- Raymond, WA
- NPI 1760136493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801978739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1635",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "986311635",
"telephone_number": "360-642-0740",
"fax_number": "360-642-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BOLSTAD AVENUE",
"city": "LONG BEACH",
"state": "WA",
"postal_code": "98631",
"telephone_number": "360-642-2349",
"fax_number": "360-642-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD HARRELL",
"first_name": "CASEY",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00040220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, WA
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.