Raul Castaneda, RPH
Individual provider Active NPI Pharmacist · East Chicago, IN
NPI 1194050294 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1194050294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26021070A (IN)
- Practice address
- 720 W Chicago Ave
East Chicago, IN 46312-3222 - Phone
- (219) 397-6208
- Fax
- (219) 378-1330
- NPI assigned
- Oct 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26021070A | IN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26021070A | IN | Yes |
Addresses
Primary practice location
720 W Chicago Ave
East Chicago, IN 46312-3222
Mailing address
1600 Rokosz LN
Dyer, IN 46311-1394
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. 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.