Costa's Apothecary, Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP025305L Issued in PA

Legal business name

COSTA'S APOTHECARY, INC

Practice address

113 E Sellers Ave
Ridley Park, PA 19078-2307

Phone

(610) 521-1000

NPI assigned

Jul 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Amoruso, RPH

Title

President

Phone

(610) 521-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Amoroso, RPH

  • Pharmacist
  • Ridley Park, PA
  • NPI 1841308699
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417977984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E SELLERS AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E SELLERS AVE",
            "city": "RIDLEY PARK",
            "state": "PA",
            "postal_code": "190782307",
            "telephone_number": "610-521-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA'S APOTHECARY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMORUSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-521-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP025305L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1617981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee S Cohen, DPM
• Collins Chiropractic P.C.
• Carrie Connahan, RPH
• Kevin John Connor, D.O.
• Brianna Costa, MS, CEP
• D. P. Dodds Associates, Inc. (Conner-Williams Nursing Home)
• Brian P Daly, LPC
• Jeffrey T Darnall, MD
• Stefanie Davis, FNP
• Jacques E Decaestecker, MD

• Pharmacist in Ridley Park, PA
• Providers in Ridley Park, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.