Active NPI
Marco Kostandy
- Pharmacist
- Midway City, CA
National Provider Identifier
1134585979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73470
- Practice address
- 8231 Maureen Dr
Midway City, CA 92655-1613 - Phone
- (714) 605-8411
- NPI assigned
- Jan 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 73470 | CA | Primary |
Addresses
Primary practice location
8231 Maureen Dr
Midway City, CA 92655-1613
Mailing address
8231 Maureen Dr
Midway City, CA 92655-1613
Phone (714) 605-8411
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1134585979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8231 MAUREEN DR",
"city": "MIDWAY CITY",
"state": "CA",
"postal_code": "926551613",
"telephone_number": "714-605-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8231 MAUREEN DR",
"city": "MIDWAY CITY",
"state": "CA",
"postal_code": "926551613",
"telephone_number": "714-605-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTANDY",
"first_name": "MARCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-09",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midway City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.