Individual provider Active NPI

Carlos Pedro Sastre

  • Pharmacist
  • New Castle, DE
National Provider Identifier
1639698061
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
A3-0000882 Issued in DE
Practice address
263 Quigley Blvd
New Castle, DE 19720-8112
Phone
(302) 356-5600
Fax
(302) 356-5610
NPI assigned
Sep 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A3-0000882 DE Primary

Addresses

Primary practice location

263 Quigley Blvd
New Castle, DE 19720-8112

Mailing address

7 McCumber LN
Middletown, DE 19709-9366
Phone (302) 373-5719

Other identifiers 2

IdentifierTypeStateIssuer
1528226362MedicaidDE
0844933MedicaidDE

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
A3-0000882DEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1639698061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MCCUMBER LN",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099366",
            "telephone_number": "302-373-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 QUIGLEY BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208112",
            "telephone_number": "302-356-5600",
            "fax_number": "302-356-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASTRE",
        "first_name": "CARLOS",
        "middle_name": "PEDRO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A3-0000882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528226362",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0844933",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.