Active NPI
Brian Christopher Casey, PHARMD
- Pharmacist
- Hattiesburg, MS
National Provider Identifier
1831786029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010160
- Practice address
- 3902 Hardy St
Hattiesburg, MS 39402-1541 - Phone
- (601) 450-6979
- NPI assigned
- Dec 22, 2020
- Last updated
- Dec 22, 2020
- Sex
- Male
- 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 | E-010160 | MS | Primary |
Addresses
Primary practice location
3902 Hardy St
Hattiesburg, MS 39402-1541
Mailing address
3902 Hardy St
Hattiesburg, MS 39402-1541
Phone (601) 450-6979
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 |
|---|---|---|---|
| E-010160 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 30A Innovations,LLC | Current | Accepting new patients |
Locations
3902 Hardy St
Hattiesburg, MS 39402
Phone (601) 422-7813
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": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1831786029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021541",
"telephone_number": "601-450-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3902 HARDY ST",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021541",
"telephone_number": "601-450-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "BRIAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.