Jan Dale Castanza, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03124476 Issued in OH

Practice address

1330 Michigan Ave
Waterville, OH 43566-1011

Phone

(419) 878-8384

Fax

(419) 878-5820

NPI assigned

Apr 24, 2011

Last updated

Apr 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1194016220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BACK BAY RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029742",
            "telephone_number": "419-823-3055",
            "fax_number": "419-823-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MICHIGAN AVE",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435661011",
            "telephone_number": "419-878-8384",
            "fax_number": "419-878-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANZA",
        "first_name": "JAN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03124476",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "15098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey J Bostelman, MD
• Browning Masonic Community
• Andrea Kathryn Bruss, M.D.
• Mark R Bruss, M.D.
• Buckeye Forest at Waterville (Ayden Healthcare of Waterville)
• Barbara Jane Chaney, SLP
• Lynne Chapman I
• Amy Michelle Childers, LPCC-S
• City of Waterville (Waterville Fire Department)
• Zachary Clark, OTR/L

• Pharmacist in Waterville, OH
• Providers in Waterville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.