Active NPI
Justine Costello, PHARM. D.
- Pharmacist
- Niagara Falls, NY
National Provider Identifier
1780201350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 066284
- Practice address
- 8672 Buffalo Ave
Niagara Falls, NY 14304-4365 - Phone
- (716) 260-1918
- Fax
- (716) 260-1917
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 066284 | NY | Primary |
Addresses
Primary practice location
8672 Buffalo Ave
Niagara Falls, NY 14304-4365
Mailing address
8672 Buffalo Ave
Niagara Falls, NY 14304-4365
Phone (716) 260-1918
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 |
|---|---|---|---|
| 066284 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Park Pharmacy Inc | Current | Accepting new patients |
Locations
8672 Buffalo Ave
Niagara Falls, NY 14304
Phone (716) 260-1918
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.
-
- Community/Retail Pharmacy
- Niagara Falls, NY
- NPI 1013203488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1780201350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8672 BUFFALO AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044365",
"telephone_number": "716-260-1918",
"fax_number": "716-260-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8672 BUFFALO AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143044365",
"telephone_number": "716-260-1918",
"fax_number": "716-260-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "JUSTINE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "066284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.