Individual provider Active NPI

Michael John Castagno, PHARM.D.

  • Pharmacist
  • Stockton, CA
National Provider Identifier
1821095704
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY45684 Issued in CA
Practice address
1530 Waterloo Rd
Stockton, CA 95205-3738
Phone
(209) 466-2522
Fax
(209) 466-2589
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY45684 CA Primary

Addresses

Primary practice location

1530 Waterloo Rd
Stockton, CA 95205-3738

Mailing address

5260 Hildreth LN
Stockton, CA 95212-2320
Phone (209) 948-0950

Other identifiers 1

IdentifierTypeStateIssuer
94-3413314OtherCAFEDERAL TAX ID

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PHY45684CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Happells Pharmacy Past Accepting new patients
Thrifty Rite Aid Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1821095704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 HILDRETH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122320",
            "telephone_number": "209-948-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WATERLOO RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952053738",
            "telephone_number": "209-466-2522",
            "fax_number": "209-466-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTAGNO",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY45684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "94-3413314",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.