IndividualActive
Koth Cassavaugh, PHARM.D.
NPI 1164778015 · Pharmacist · Auburn, NY
Koth Cassavaugh, PHARM.D. is a Pharmacist provider in Auburn, NY (NPI 1164778015).
Provider details
- NPI number
- 1164778015
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 046277 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17 Lansing St
Auburn, NY 13021-1983
Phone: (315) 255-7296
Fax: (315) 255-7307
Street-level locationGet directions
Mailing address
736 Irving Ave
Syracuse, NY 13210-1687
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2018-09-13
Frequently asked questions
- What is Koth Cassavaugh's NPI number?
- Koth Cassavaugh's National Provider Identifier (NPI) is 1164778015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koth Cassavaugh's specialty?
- Koth Cassavaugh is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Koth Cassavaugh located?
- Koth Cassavaugh's practice location on file with NPPES is 17 Lansing St, Auburn, NY 13021-1983.
- What is Koth Cassavaugh's phone number?
- The practice phone number listed in the NPPES registry for Koth Cassavaugh is (315) 255-7296.
- Is Koth Cassavaugh's NPI active?
- Yes — Koth Cassavaugh's NPI (1164778015) is active in the NPPES registry as of the last update on 2018-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.