MEDICARE: DR. CHELSEA RAE CASTOR PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP00010355	NM

General Provider Information

NPI Number	:	1629924105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHELSEA RAE CASTOR PHARMD

Provider Business Mailing Address
First Line	:	4100 SILVER AVE SE APT 403
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-1943
Country	:	US
Telephone Number	:	919-627-3293
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 LOMAS BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2719
Country	:	US
Telephone Number	:	505-272-2111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2026
Last Update Date	:	03/07/2026

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