David Judson Costlow, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S015558 Issued in AZ

Practice address

1101 N Central Ave Ste 204
Phoenix, AZ 85004-1844

Phone

(602) 344-8704

NPI assigned

Jan 12, 2010

Last updated

Jul 19, 2022By 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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1417287590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-344-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N CENTRAL AVE STE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041844",
            "telephone_number": "602-344-8704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 E Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325600",
            "country_code": "US",
            "telephone_number": "602-992-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTLOW",
        "first_name": "DAVID",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-12",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S015558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Mary Costello, PT, ATC
• Jordan Costello
• Marcelle Costello
• Tarla Grace Visperas Costes
• Claudia Candice Costin
• Alize Cota
• Daisy Cota
• Jennifer Cota
• Karla Y Cota, LPC-24008
• Laureen Cota, DPM

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.