CMS-1500 Box 24J / 33a • NPI
1104089127
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1835P1300X
Licensed & Credentialed Pharmacist, Psychiatric
Box 32 Service Location & ZIP+4
1003 12TH ST, PHARMACY DEPARTMENT, BUTNER, NC, 27509-1626
✓ 9-Digit EDI 837 ZIP+4 (27509-1626)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104089127 (JILL ELIZABETH CASSERLY, PharmD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104089127 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JILL ELIZABETH CASSERLY, PharmD |
| Plain-English Specialty | Licensed & Credentialed Pharmacist, Psychiatric NUCC Code: 1835P1300X (Pharmacist, Psychiatric) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1003 12TH ST, PHARMACY DEPARTMENT, BUTNER, NC, 27509-1626 |
| Practice Telephone / Fax | Tel: (919) 575-7394 |
| Administrative Mailing Address | 1003 12TH ST, BUTNER, NC, 27509-1626 |
| Enumeration & Last Sync | Enumerated: 2008-07-09 | CMS Record Updated: 2008-07-10 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in BUTNER
🔒 Are you JILL ELIZABETH CASSERLY, PharmD? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (1835P1300X)
What Does Taxonomy Code 1835P1300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1300X translates to:
"Licensed & Credentialed Pharmacist, Psychiatric"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JILL ELIZABETH CASSERLY, PharmD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
1835P1300X — Pharmacist, PsychiatricPlain English: Licensed & Credentialed Pharmacist, Psychiatric | State: NC | License: 18923 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.