Immer Shealtiel Castillo Alipio, PHARMD
Individual provider Active NPI Pharmacist · Chicago, IL
NPI 1336018951 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1336018951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.307236 (IL)
- Practice address
- 2970 N Lake Shore Dr Apt 2C
Chicago, IL 60657-5641 - Phone
- (575) 706-7181
- NPI assigned
- Nov 3, 2025
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.307236 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 051.307236 | IL | Yes |
Addresses
Primary practice location
2970 N Lake Shore Dr Apt 2C
Chicago, IL 60657-5641
Mailing address
2970 N Lake Shore Dr Apt 2C
Chicago, IL 60657-5641
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. 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.