Active NPI
Darlene Mae Cassidy, RPH
- Pharmacist
- Madison, AL
National Provider Identifier
1962710236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051033379
- Practice address
- 138 Hartington Dr
Madison, AL 35758-8242 - Phone
- (256) 830-6636
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 051033379 | IL | Primary |
| Pharmacist | 183500000X | 11647 EXP 12/31/2016 | AL |
Addresses
Primary practice location
138 Hartington Dr
Madison, AL 35758-8242
Mailing address
138 Hartington Dr
Madison, AL 35758-8242
Phone (256) 830-6636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11647 | Other | AL | STATE LICENSE NUMBER |
| 11647 | Other | AL | STATE BOARD OF PHARMACY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051033379 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1962710236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 HARTINGTON DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588242",
"telephone_number": "256-830-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 HARTINGTON DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357588242",
"telephone_number": "256-830-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "DARLENE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051033379",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "11647 EXP 12/31/2016",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "11647",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY",
"identifier": "11647",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.