Castle Retail Group LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

910 Issued in TN

Legal business name

CASTLE RETAIL GROUP LLC

Practice address

3071 S Perkins Rd
Memphis, TN 38118-3239

Phone

(901) 366-5313

Fax

(901) 366-0224

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Leaonard Engelberg, RPH

Title

Phcy MNGR

Phone

(901) 366-5313

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• FAMILY PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Alejo Lyles, PHARMD.

  • Pharmacist
  • Cordova, TN
  • NPI 1528389335
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1124039706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 WHEELIS DR",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174519",
            "telephone_number": "901-362-3492",
            "fax_number": "901-362-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 S PERKINS RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381183239",
            "telephone_number": "901-366-5313",
            "fax_number": "901-366-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE RETAIL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "ENGELBERG",
        "authorized_official_first_name": "LEAONARD",
        "authorized_official_title_or_position": "PHCY MNGR",
        "authorized_official_telephone_number": "901-366-5313",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4434421",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5520800001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Castejon Ramirez, MD
• Samantha Smith Castellaw
• Stanley Chase Castellaw, PHARMD
• Mathew Castelli, MD
• Francisco Antonio Castillo Diaz, MD
• William Nelson Castle, D.D.S.
• Ashley Laprese Caston, PHARMACIST
• Adela Castro Gutierrez, MD
• Diana Patricia Castro Villabon, M.D.
• Rojanae Castro

• Community/Retail Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; 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.