Cassandra Lynn Payne, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

020236 Issued in KY

Practice address

545 Conestoga Pkwy Lot 1
Shepherdsville, KY 40165-6666

Phone

(502) 281-5006

Fax

(502) 281-5013

NPI assigned

Aug 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1871149542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 CONESTOGA PKWY LOT 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656666",
            "telephone_number": "502-281-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 CONESTOGA PKWY LOT 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656666",
            "telephone_number": "502-281-5006",
            "fax_number": "502-281-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CASSANDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "020236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "020236",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "c0p015b.s04118.us@wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "company email",
            "affiliationName": "Walmart Inc.",
            "address_1": "545 Conestoga Pkwy Lot 1",
            "city": "Shepherdsville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401656666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Partners in Patient Care, PLLC
• Jai Patel, MD
• Vipul Ramanbhai Patel, DPM
• Pathways to Healing
• Paul D. Ralph, D.C. PLLC
• Stephen C. Payne, MD
• Pediatrics of Bullitt County PLLC
• Pediatrics of Bullitt County PLLC
• Kelsey Danielle Pehlke
• Erin Peirce

• Pharmacist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.