Individual provider Active NPI

John Joseph Costanza, REGISTERED PHARMACIS

  • Pharmacist
  • Harrisonburg, LA
National Provider Identifier
1861589202
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9412 Issued in LA
Practice address
Box 205
302 Bushley Street
Harrisonburg, LA 71340
Phone
(318) 744-5351
Fax
(318) 744-5368
NPI assigned
Oct 6, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9412 LA Primary

Addresses

Primary practice location

Box 205
302 Bushley Street
Harrisonburg, LA 71340

Mailing address

Box 205
302 Bushley Street
Harrisonburg, LA 71340
Phone (318) 744-5351

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

LicenseStateTypeSpecialty
9412LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1861589202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 205",
            "address_2": "302 BUSHLEY STREET",
            "city": "HARRISONBURG",
            "state": "LA",
            "postal_code": "71340",
            "telephone_number": "318-744-5351",
            "fax_number": "318-744-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 205",
            "address_2": "302 BUSHLEY STREET",
            "city": "HARRISONBURG",
            "state": "LA",
            "postal_code": "71340",
            "telephone_number": "318-744-5351",
            "fax_number": "318-744-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTANZA",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "9412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.