Active NPI
Luis M Castellanos Sr., PHARM-D, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1831792613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39388
- Practice address
- 903 W Martin St
San Antonio, TX 78207-0903 - Phone
- (210) 358-5245
- Fax
- (210) 358-9996
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39388 | TX | Primary |
Addresses
Primary practice location
903 W Martin St
San Antonio, TX 78207-0903
Mailing address
903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 358-5245
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39388 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1831792613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W MARTIN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "210-358-5245",
"fax_number": "210-358-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W MARTIN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782070903",
"telephone_number": "210-358-5245",
"fax_number": "210-358-9996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "LUIS",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PHARM-D, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.