Active NPI
Elizabeth Castro
- Pharmacist
- Caldwell, ID
National Provider Identifier
1912786591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P10938
- Practice address
- 2107 Blaine St
Caldwell, ID 83605-4427 - Phone
- (208) 455-1094
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | P10938 | ID | Primary |
Addresses
Primary practice location
2107 Blaine St
Caldwell, ID 83605-4427
Mailing address
3833 E Collingwood St # Sr
Meridian, ID 83642-5661
Phone (210) 501-3336
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P10938 | Other | PHARMACIST | |
| 018NBSA | Other | OR | BASIC LIFE SUPPORT |
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 |
|---|---|---|---|
| P10938 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Current | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Locations
2107 Blaine St
Caldwell, ID 83605
Phone (208) 445-1094
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.
-
- Community/Retail Pharmacy
- Caldwell, ID
- NPI 1962511402
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1912786591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 E COLLINGWOOD ST # SR",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425661",
"telephone_number": "210-501-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 BLAINE ST",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836054427",
"telephone_number": "208-455-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P10938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "P10938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BASIC LIFE SUPPORT",
"identifier": "018NBSA",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.