Terry S Costakis, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

11701 Issued in SC

Practice address

H 2005 Knight Lane Navy Medicine Support Command
Attn: Medical Staff Services BLDG.
Jacksonville, FL 32212-0140

Phone

(904) 542-7200

Fax

(843) 228-5196

NPI assigned

Oct 2, 2007

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1275720468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND",
            "address_2": "ATTN: MEDICAL STAFF SERVICES BLDG.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "904-542-7200",
            "fax_number": "843-228-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND",
            "address_2": "ATTN: MEDICAL STAFF SERVICES BLDG.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "904-542-7200",
            "fax_number": "843-228-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAKIS",
        "first_name": "TERRY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "11701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Cost, D.C.
• Ashley Lynn Costa, BCABA
• Jordyn Costa
• Joseph Anthony Costa, D.O.
• Megan Costacamps
• Yaisy Costales Sade, MS, BCBA
• Giselle Costales
• Alyssa Costante, PT, DPT, LAT, ATC
• Raquel Costantino
• Costco Wholesale Corporation (Costco Pharmacy #1294)

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.