Lareina Castro
Individual provider Active NPI Pharmacist · Enumclaw, WA
NPI 1124764071 · NPPES record last updated May 12, 2022
Key facts
- NPI
- 1124764071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH61153133 (WA)
- Practice address
- 232 Roosevelt Ave
Enumclaw, WA 98022-8242 - Phone
- (360) 825-2558
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61153133 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61153133 | WA | Yes |
Addresses
Primary practice location
232 Roosevelt Ave
Enumclaw, WA 98022-8242
Mailing address
43120 Auburn Enumclaw Rd SE
Enumclaw, WA 98022-9171
Phone (253) 455-0653
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Nexgen | THRIFTY PAYLESS INC |
Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.