Casey'S Prescription Pad, Inc.

LBN: Caseys Prescription Pad Inc
Casey'S Prescription Pad, Inc. is an health care organization with primary practice located at 5844 Southwestern Blvd Ste 300 , Hamburg NY 14075. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Caseys Prescription Pad Inc can be contacted via phone (716) 926-9044, or through Derck, Heather via phone (716) 926-9044.

Contact Information

Primary practice address
5844 Southwestern Blvd Ste 300 Hamburg NY 14075
Phone: (716) 926-9044
Fax: (716) 926-9028
Website:
Map and Directions
Authorized official contact:
Name: Derck, Heather
Phone: (716) 926-9044

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 031469 New York

Profile Details

NPI number 1205187739
LBN Legal business name Caseys Prescription Pad Inc
DBA Doing business as Casey'S Prescription Pad, Inc.
Authorized official Derck, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2012
Last updated Feb 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205187739 NPPES
Other 2137096 PK
MEDICAID 03737657 PK

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