Reliance Castle Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 50666 Issued in CA

Legal business name

RELIANCE CASTLE PHARMACY LLC

Practice address

3605 Hospital Road
Suite D
Atwater, CA 95301-5173

Phone

(209) 723-1888

Fax

(209) 723-1858

NPI assigned

Nov 15, 2006

Organization subpart

Yes

Parent organization

RELIANCE CASTLE PHARMACY LLCAs reported in NPPES

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

Authorized official

Name

Ms. Neelmia Vanga

Title

Member/Manager

Phone

(209) 723-1888

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Castle Pharmacy Doing business as

Part of

Reliance Castle Pharmacy LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhu S.R Vanga

  • Pharmacist
  • Atwater, CA
  • NPI 1447247473
  NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1851463657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL ROAD",
            "address_2": "SUITE D",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-723-1888",
            "fax_number": "209-723-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 HOSPITAL ROAD",
            "address_2": "SUITE D",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-723-1888",
            "fax_number": "209-723-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE CASTLE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANCE CASTLE PHARMACY LLC",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "VANGA",
        "authorized_official_first_name": "NEELMIA",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "209-723-1888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851463657",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5624502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "PHY 50666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilia Ramirez
• Kenya Ramos Gutierrez
• Maria Ramos Ramirez
• Fausto Ramos
• Melissa Rangel
• Isabella Ann Repancool
• Claudia Reyes
• Elani Reyes
• Fabian Andres Reyes
• Vanessa Reyes

• Community/Retail Pharmacy in Atwater, CA
• Providers in Atwater, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.