Individual provider Active NPI

Luis Antonio Castaneda, CPHT

  • Pharmacy Technician
  • El Paso, TX
National Provider Identifier
1396336111
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
299390 Issued in TX
Practice address
3000 Saul Kleinfeld Dr
El Paso, TX 79936-0989
Phone
(915) 849-7804
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 299390 TX Primary

Addresses

Primary practice location

3000 Saul Kleinfeld Dr
El Paso, TX 79936-0989

Mailing address

447 S Schutz Dr Apt 356
El Paso, TX 79907-6405
Phone (915) 275-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
299390TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores Texas, LLC PastSince Feb 7, 2021 Accepting new patients
Wal-Mart Stores Texas LLC PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1396336111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S SCHUTZ DR APT 356",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076405",
            "telephone_number": "915-275-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 SAUL KLEINFELD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799360989",
            "telephone_number": "915-849-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "299390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.