Edward Castillo, RPH
Individual provider Active NPI Pharmacist · Bastrop, TX
NPI 1750984050 · NPPES record last updated Nov 18, 2020
Key facts
- NPI
- 1750984050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 25519 (TX)
- Practice address
- 488 Highway 71 W
Bastrop, TX 78602-3731 - Phone
- (512) 321-1020
- NPI assigned
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25519 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25519 | TX | Yes |
Addresses
Primary practice location
488 Highway 71 W
Bastrop, TX 78602-3731
Mailing address
488 Highway 71 W
Bastrop, TX 78602-3731
Phone (512) 321-1020
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.