Costa Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410487L Issued in PA

Legal business name

COSTA DRUGS INC

Doing business as

Costa Drugs Inc

Practice address

609 Prospect Ave
Scranton, PA 18505-2772

Phone

(570) 961-1168

Fax

(570) 207-4633

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

George Chelland, RPH

Title

Corp Sec

Phone

(570) 961-1168

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• COSTA DRUGS INC Doing business as

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1295807329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PROSPECT AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052772",
            "telephone_number": "570-961-1168",
            "fax_number": "570-207-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 PROSPECT AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185052772",
            "telephone_number": "570-961-1168",
            "fax_number": "570-207-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "CHELLAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CORP SEC",
        "authorized_official_telephone_number": "570-961-1168",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410487L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007612680003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2078775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSTA DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thalia Cordaro, CRNP
• Michael A. Cortes, M.D.
• James Cortese, MD
• Mary Jane Cosgrove, O.D.
• Zenaida Cosme
• Christopher J Costa, PA
• John Joseph Cottone, D.D.S.
• Melissa Anne Cottone, MA, LPC, BCBA
• Counseling & Wellness Center of Scranton LLC
• Sydney Couturier, PHARMD

• Community/Retail Pharmacy in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.