Individual provider Active NPI

Denis John Casey, RPH

  • Pharmacist
  • Ballston Lake, NY
National Provider Identifier
1912299512
Registry record updated May 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36475 Issued in NY
Practice address
19 Village View BLF
Ballston Lake, NY 12019-1205
Phone
(518) 281-7624
Fax
(518) 281-7624
NPI assigned
May 15, 2011
Last updated
May 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36475 NY Primary
Oncology Pharmacist 1835X0200X 36475 NY

Addresses

Primary practice location

19 Village View BLF
Ballston Lake, NY 12019-1205

Mailing address

19 Village View BLF
Ballston Lake, NY 12019-1205
Phone (518) 281-7624

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
36475NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305417600000",
    "number": "1912299512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VILLAGE VIEW BLF",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191205",
            "telephone_number": "518-281-7624",
            "fax_number": "518-281-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VILLAGE VIEW BLF",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191205",
            "telephone_number": "518-281-7624",
            "fax_number": "518-281-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "DENIS",
        "middle_name": "JOHN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-15",
        "last_updated": "2011-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "36475",
            "primary": true
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "NY",
            "license": "36475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; 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.