Active NPI
Cassandra Izzo
- Pharmacist
- Herkimer, NY
National Provider Identifier
1932552122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 061879
- Practice address
- 103 N Caroline St
Herkimer, NY 13350-1716 - Phone
- (315) 717-0219
- Fax
- (315) 717-0225
- NPI assigned
- Jul 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 061879 | NY | Primary |
Addresses
Primary practice location
103 N Caroline St
Herkimer, NY 13350-1716
Mailing address
104 Reservoir Rd
Little Falls, NY 13365-5924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061879 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1932552122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 RESERVOIR RD",
"city": "LITTLE FALLS",
"state": "NY",
"postal_code": "133655924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N CAROLINE ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501716",
"telephone_number": "315-717-0219",
"fax_number": "315-717-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZZO",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "061879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.