Active NPI
Vincent L Costa, RPH
- Pharmacist
- Harrisburg, PA
National Provider Identifier
1881882801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP029979L
- Practice address
- 6007 Allentown Blvd
C/O CVS
Harrisburg, PA 17112 - Phone
- (717) 540-5893
- Fax
- (717) 540-5663
- NPI assigned
- Oct 4, 2007
- 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 | RP029979L | PA | Primary |
Addresses
Primary practice location
6007 Allentown Blvd
C/O CVS
Harrisburg, PA 17112
Mailing address
516 Hummel Ave
Lemoyne, PA 17043-1826
Phone (717) 350-1791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP029979L | Other | PA | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP029979L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Harrisburg, PA
- NPI 1215035837
-
- Pharmacy
- West Chester, PA
- NPI 1639063571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1881882801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 HUMMEL AVE",
"city": "LEMOYNE",
"state": "PA",
"postal_code": "170431826",
"telephone_number": "717-350-1791",
"fax_number": "717-540-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 ALLENTOWN BLVD",
"address_2": "C/O CVS",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17112",
"telephone_number": "717-540-5893",
"fax_number": "717-540-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "VINCENT",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP029979L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RP029979L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.