KOTH MICHAEL CASSAVAUGH PHARM.D.
NPI 1164778015
Pharmacist in Auburn, NY

Q: What is Koth Cassavaugh's NPI number?

The NPI number for Koth Cassavaugh is 1164778015. It was assigned to this individual provider in the NPPES registry on July 30, 2012.

Q: What is Koth Cassavaugh's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Koth Cassavaugh was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2012

17 LANSING ST, AUBURN, NY 13021(315) 255-7296(315) 255-7307 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Koth Michael Cassavaugh Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOTH MICHAEL CASSAVAUGH PHARM.D. (NPI 1164778015) is an individual pharmacist in Auburn, New York, licensed in New York (046277) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1164778015

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameKOTH MICHAEL CASSAVAUGHCredential: PHARM.D.

Location Address17 LANSING STAuburn, NY 13021-1983

Mailing Address736 Irving AveSyracuse, NY 13210-1687 · (315) 470-8061 · Fax (315) 470-2609

Phone(315) 255-7296

Fax(315) 255-7307

Sole ProprietorNo

Enumeration DateJuly 30, 2012

Last NPPES UpdateSeptember 13, 2018

✔ NPI 1164778015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in NY · 046277

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

17 LANSING ST, Auburn, NY 13021

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT L SINGLETARY MD

Emergency Medicine