Active NPI
Casey Robinson Gross, PHARM.D
- Pharmacist
- Boise, ID
National Provider Identifier
1841624939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6876
- Practice address
- 8100 W Fairview Ave
Boise, ID 83704-8425 - Phone
- (208) 375-2825
- Fax
- (208) 375-2846
- NPI assigned
- Aug 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7132396 | UT | |
| Pharmacist | 183500000X | P6876 | ID | Primary |
Addresses
Primary practice location
8100 W Fairview Ave
Boise, ID 83704-8425
Mailing address
8100 W Fairview Ave
Boise, ID 83704-8425
Phone (208) 375-2825
Other practice location 1
455 S Broadway Ave
Boise, ID 83702-7643
Phone (208) 331-4187
Other names 1
- Casey Lynn Robinson
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 |
|---|---|---|---|
| P6876 | ID | MD | Pharmacist |
| 7132396 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1841624939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048425",
"telephone_number": "208-375-2825",
"fax_number": "208-375-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048425",
"telephone_number": "208-375-2825",
"fax_number": "208-375-2846"
}
],
"practiceLocations": [
{
"address_1": "455 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837027643",
"country_code": "US",
"telephone_number": "208-331-4187",
"fax_number": "208-331-5699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSS",
"first_name": "CASEY",
"middle_name": "ROBINSON",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7132396",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASEY",
"last_name": "ROBINSON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.