Active NPI
Justin Castro
- Pharmacy Technician
- Portland, OR
National Provider Identifier
1881211522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- CPT0006659
- Practice address
- 619 NW 6TH Ave FL 1
Portland, OR 97209-3964 - Phone
- (503) 988-5267
- NPI assigned
- Jun 29, 2020
- Last updated
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | CPT0006659 | OR | Primary |
Addresses
Primary practice location
619 NW 6TH Ave FL 1
Portland, OR 97209-3964
Mailing address
3734 Wild Rose Loop
West Linn, OR 97068-7235
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 |
|---|---|---|---|
| CPT0006659 | OR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multnomah County Oregon | Current | Accepting new patients | |
| Multnomah County Health Dept.-Pharmacy Admin. | Current | Accepting new patients |
Locations
619 NW 6th Ave
Fl 1
Portland, OR 97209
Phone (503) 988-3674
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- State or Local Public Health Clinic/Center
- Portland, OR
- NPI 1821265364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1881211522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3734 WILD ROSE LOOP",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970687235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 NW 6TH AVE FL 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093964",
"telephone_number": "503-988-5267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JUSTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OR",
"license": "CPT0006659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.