Individual provider Active NPI

Elizabeth Ceceile Kostin, RPH

  • Pharmacist
  • Hanover, PA
National Provider Identifier
1295747533
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP441749 Issued in PA
Practice address
261 Wilson Ave
Hanover, PA 17331-1400
Phone
(717) 969-6041
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14885 MD
Pharmacist 183500000X RP441749 PA Primary

Addresses

Primary practice location

261 Wilson Ave
Hanover, PA 17331-1400

Mailing address

1708 Fairmont Dr
Mechanicsburg, PA 17055-6185
Phone (410) 241-0956

Other practice location 1

6520 Carlisle Pike Ste 200
Mechanicsburg, PA 17050-5251
Phone (717) 516-3772

Other names 1

  • Elizabeth Kostin Weaver Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14885MDMDPharmacist
RP441749PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1295747533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FAIRMONT DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556185",
            "telephone_number": "410-241-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 WILSON AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311400",
            "telephone_number": "717-969-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6520 Carlisle Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170505251",
            "country_code": "US",
            "telephone_number": "717-516-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTIN",
        "first_name": "ELIZABETH",
        "middle_name": "CECEILE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14885",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WEAVER",
            "middle_name": "KOSTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.