Active NPI
Jenna Leigh Kastor, PHARM. D.
- Pharmacist
- Avon Lake, OH
National Provider Identifier
1003089202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06-0-04725
- Practice address
- 31990 Walker Rd
Avon Lake, OH 44012-2045 - Phone
- (440) 933-9598
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 06-0-04725 | OH | Primary |
Addresses
Primary practice location
31990 Walker Rd
Avon Lake, OH 44012-2045
Mailing address
36550 Chester Rd Apt 5104
Avon, OH 44011-4019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riser Foods Company | Past | Accepting new patients | |
| Riser Foods Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cambridge, OH
- NPI 1225927155
-
dba Giant Eagle Pharmacy 1284
- Community/Retail Pharmacy
- Avon Lake, OH
- NPI 1871508788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1003089202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36550 CHESTER RD APT 5104",
"city": "AVON",
"state": "OH",
"postal_code": "440114019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31990 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122045",
"telephone_number": "440-933-9598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTOR",
"first_name": "JENNA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "06-0-04725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.