Active NPI
Patricia A Castrodale
- Pharmacist
- Hamilton, IL
National Provider Identifier
1710224522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16049
- Practice address
- 1075 Broadway
Hamilton, IL 62341 - Phone
- (217) 847-2214
- Fax
- (217) 847-6681
- NPI assigned
- Jan 14, 2013
- Last updated
- Jan 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16049 | IA | Primary |
| Pharmacist | 183500000X | 051033053 | IN |
Addresses
Primary practice location
1075 Broadway
Hamilton, IL 62341
Mailing address
1075 Broadway
Hamilton, IL 62341
Phone (217) 847-2214
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16049 | IA | MD | Pharmacist |
| 051033053 | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1710224522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 BROADWAY",
"city": "HAMILTON",
"state": "IL",
"postal_code": "62341",
"telephone_number": "217-847-2214",
"fax_number": "217-847-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 BROADWAY",
"city": "HAMILTON",
"state": "IL",
"postal_code": "62341",
"telephone_number": "217-847-2214",
"fax_number": "217-847-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRODALE",
"first_name": "PATRICIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16049",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "051033053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.