Individual provider Active NPI

Myra Barbara Ladaga Castillo, RPH

  • Pharmacist
  • Derby, VT
National Provider Identifier
1063793560
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R2590 Issued in NH
Practice address
115 Seymour Drive
Derby, VT 05829
Phone
(802) 624-8011
NPI assigned
Aug 29, 2011
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA0020920 CO
Pharmacist 183500000X R2590 NH Primary
Pharmacist 183500000X 65043 CA

Addresses

Primary practice location

115 Seymour Drive
Derby, VT 05829

Mailing address

615 Meadow St
Littleton, NH 03561-3624
Phone (603) 444-6400

Other practice location 1

615 Meadow St
Littleton, NH 03561-3624
Phone (603) 444-6400

Other names 1

  • Myra Barbara Ladaga Other name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PHA0020920COMDPharmacist
R2590NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Jul 16, 2023 Accepting new patients
Wal-Mart Stores East LP Past Accepting new patients
Walmart Stores East LP PastSince Jul 16, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1063793560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613624",
            "telephone_number": "603-444-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SEYMOUR DRIVE",
            "city": "DERBY",
            "state": "VT",
            "postal_code": "05829",
            "telephone_number": "802-624-8011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Meadow St",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "NH",
            "postal_code": "035613624",
            "country_code": "US",
            "telephone_number": "603-444-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADAGA CASTILLO",
        "first_name": "MYRA BARBARA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA0020920",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2590",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65043",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA BARBARA",
            "last_name": "LADAGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Derby, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.