Jake Castroreale, PHARMD, BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

3168204 Issued in CA

Practice address

9888 Genesee Ave
La Jolla, CA 92037-1205

Phone

(858) 626-6412

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

No

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1245097047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 CHICAGO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176114",
            "telephone_number": "714-943-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "858-626-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTROREALE",
        "first_name": "JAKE",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84570",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "3168204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Birba Cartwright, M.D.
• Janel Case
• Kevin M. Casey, M.D.
• Elizabeth Castellanos, RN
• Daeleigh Castile, RN
• Tatiana L Catanzarite, M.D.
• Roger Herbert Cavnaugh, PH.D.
• Alejandro Cazares
• Lynette C Cederquist, M.D.
• Center for Neurohealth, Inc.

• Pharmacotherapy Pharmacist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.