Active NPI
Edward Albert Costrini, PHARMD
- Pharmacist
- Canton, MI
National Provider Identifier
1316877590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302027995
- Practice address
- 8557 N Lilley Rd
Canton, MI 48187-2091 - Phone
- (734) 905-0100
- NPI assigned
- May 20, 2026
- 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 | 5302027995 | MI | Primary |
Addresses
Primary practice location
8557 N Lilley Rd
Canton, MI 48187-2091
Mailing address
40445 Brecken Ridge LN
Plymouth, MI 48170-7613
Phone (734) 730-7303
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302027995 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton One Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1316877590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40445 BRECKEN RIDGE LN",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481707613",
"telephone_number": "734-730-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8557 N LILLEY RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481872091",
"telephone_number": "734-905-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTRINI",
"first_name": "EDWARD",
"middle_name": "ALBERT",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302027995",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.