Active NPI
Xiera Jayne Castiblanco, PHARMD
- Pharmacist
- Henderson, NV
National Provider Identifier
1083203368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH18059
- Practice address
- 630 S Green Valley Pkwy
Henderson, NV 89052-0403 - Phone
- (702) 614-8652
- NPI assigned
- Jan 12, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0018186 | OR | |
| Pharmacist | 183500000X | PH18059 | NV | Primary |
Addresses
Primary practice location
630 S Green Valley Pkwy
Henderson, NV 89052-0403
Mailing address
630 S Green Valley Pkwy
Henderson, NV 89052-0403
Phone (702) 614-8652
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH18059 | NV | MD | Pharmacist |
| RPH-0018186 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1083203368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 S GREEN VALLEY PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890520403",
"telephone_number": "702-614-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 S GREEN VALLEY PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890520403",
"telephone_number": "702-614-8652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTIBLANCO",
"first_name": "XIERA JAYNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0018186",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "PH18059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.