Individual provider Active NPI

Magdalena D Costa, RPH

  • Pharmacist
  • Bowie, MD
National Provider Identifier
1437815115
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28258 Issued in MD
Practice address
10401 Martin Luther King Jr Hwy
Bowie, MD 20720-4201
Phone
(301) 955-0108
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28258 MD Primary

Addresses

Primary practice location

10401 Martin Luther King Jr Hwy
Bowie, MD 20720-4201

Mailing address

10401 Martin Luther King Jr Hwy
Bowie, MD 20720-4201
Phone (301) 955-0108

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
28258MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1437815115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 MARTIN LUTHER KING JR HWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204201",
            "telephone_number": "301-955-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 MARTIN LUTHER KING JR HWY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204201",
            "telephone_number": "301-955-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D COSTA",
        "first_name": "MAGDALENA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.