Castle Hills Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26414 Issued in TX

Legal business name

CASTLE HILLS PHARMACY LLC

Doing business as

Castle Hills Pharmacy LLC

Practice address

3412 Sam Houston Dr
Victoria, TX 77904-2238

Phone

(361) 575-6328

Fax

(361) 575-4488

NPI assigned

Jan 29, 2007

Last updated

Aug 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Ward, BS

Title

Owner

Phone

(361) 575-6328

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Castle Hills Pharmacy LLC Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1669518783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042238",
            "telephone_number": "361-575-6328",
            "fax_number": "361-575-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042238",
            "telephone_number": "361-575-6328",
            "fax_number": "361-575-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE HILLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-575-6328",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122660",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106577",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Hills Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Lee Casey, MD
• Sandra L Cashion, MS RN CNS FNPC
• Eliezer Castaneda, M.D.
• Andrea Kae Castilla, ACNP
• Castle Hills Pharmacy LLC
• Ruben Castro, LCSW
• Sirena Rene Castro
• William Edward Celentano, D.O.
• Certified Prosthetics & Orthotics, Inc.
• Sherry P Chambliss, LPC

• Community/Retail Pharmacy in Victoria, TX
• Providers in Victoria, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.