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Contact Information

CASEYS PRESCRIPTION PAD INC
5844 SOUTHWESTERN BLVD STE 300
HAMBURG, NY14075
 Phone: 716-926-9044
 Fax: 716-926-9028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CASEYS PRESCRIPTION PAD INC

NPI # 1205187739
LBN Legal business name CASEYS PRESCRIPTION PAD INC
Authorized official HEATHER DERCK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/24/2012
Last updated 09/19/2025 - About 9 months ago
Identifiers
NY License # 031469
NY Medicaid 03737657
Other 2137096 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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