Individual provider Active NPI

Eric Castrejon Sr., PHARM.D.

  • Pharmacist
  • Oak Lawn, IL
National Provider Identifier
1962752295
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.295696 Issued in IL
Practice address
9424 S Pulaski Rd
Oak Lawn, IL 60453-1935
Phone
(773) 423-0535
NPI assigned
Sep 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.295696 IL Primary

Addresses

Primary practice location

9424 S Pulaski Rd
Oak Lawn, IL 60453-1935

Mailing address

9424 S Pulaski Rd
Oak Lawn, IL 60453-1935
Phone (708) 423-0535

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
051.295696ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1962752295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531935",
            "telephone_number": "708-423-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 S PULASKI RD",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531935",
            "telephone_number": "773-423-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTREJON",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.