Costa Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411151L Issued in PA

Legal business name

COSTA DRUGS INC

Practice address

800 Main St
Dickson City, PA 18519-1544

Phone

(570) 489-5161

Fax

(570) 307-0730

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

George Chelland, RPH

Title

Corp Sec

Phone

(570) 961-1168

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• COSTA DRUGS INC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Costa, RPH

  • Pharmacist
  • Dickson City, PA
  • NPI 1114099777
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1811069966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191544",
            "telephone_number": "570-489-5161",
            "fax_number": "570-307-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191544",
            "telephone_number": "570-489-5161",
            "fax_number": "570-307-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "CHELLAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CORP SEC",
        "authorized_official_telephone_number": "570-961-1168",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411151L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2080190",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007612680004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COSTA DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua David Cillo, AU.D
• Peter A Cognetti II, MD
• Collarini Rehab LLC
• Jennifer Constanos, LCSW
• Cor Medicine, PC
• Joseph J Costa, RPH
• Cpo2 Inc
• Kaycee Crofton, DPT
• Kelsey Lynn Crossin, RPH
• Loriann Crotti, D.C.

• Community/Retail Pharmacy in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.