Active NPI
David Michael Costlow, PHARMACIST
- Pharmacist
- Johnstown, PA
National Provider Identifier
1821380957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP03055L
- Practice address
- 407 Central Ave
Johnstown, PA 15902-2502 - Phone
- (814) 536-7595
- NPI assigned
- May 9, 2011
- Sex
- Male
- 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 | RP03055L | PA | Primary |
Addresses
Primary practice location
407 Central Ave
Johnstown, PA 15902-2502
Mailing address
407 Central Ave
Johnstown, PA 15902-2502
Phone (814) 536-7595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP03055L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304899200000",
"number": "1821380957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 CENTRAL AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159022502",
"telephone_number": "814-536-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CENTRAL AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159022502",
"telephone_number": "814-536-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTLOW",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP03055L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.