Castleton Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029846 Issued in NY

Legal business name

CASTLETON PHARMACY CORP

Doing business as

Nates Pharmacy

Practice address

252 Port Richmond Ave
Staten Island, NY 10302-1749

Phone

(718) 720-5600

Fax

(718) 720-5612

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Boris NatenzonNPI 1821399254

Title

President

Phone

(917) 734-4662

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Nates Pharmacy Doing business as

Tax ID family

Castleton Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Castleton Pharmacy Corp

  dba Enexia Specialty

  • Community/Retail Pharmacy
  • Staten Island, NY
  • NPI 1538309331
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris Natenzon, RPH

  • Pharmacist
  • Staten Island, NY
  • NPI 1821399254
  Authorized official Same address or phone

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1609942614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BROADWAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102804",
            "telephone_number": "718-720-3710",
            "fax_number": "718-720-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021749",
            "telephone_number": "718-720-5600",
            "fax_number": "718-720-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLETON PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "NATENZON",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-734-4662"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029846",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3360308",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03135297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nates Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khadijah Castello
• Katherine Castiglione, LPN
• April Castillo-Menor
• Alan Castillo, SW
• Castleton Pharmacy Corp (Enexia Specialty)
• Emelita Riego de Dios Castor, M.D.
• Alexandra Castris, DPT
• Cecilia R Castro, PA
• Emily C Castro, RN
• Judith D Castro, D.C.

• Community/Retail Pharmacy in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.