Allan Costa Jr., PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

12654 Issued in CT

Practice address

1078 Silas Deane Hwy
Wethersfield, CT 06109-4231

Phone

(860) 529-2535

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Guilford, CT
  • NPI 1417746108
  NPD (past)
• Connecticut CVS Pharmacy LLC

  • Pharmacy
  • Wethersfield, CT
  • NPI 1841394749
  NPD (past)

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912434390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094231",
            "telephone_number": "860-529-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094231",
            "telephone_number": "860-529-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTA",
        "first_name": "ALLAN",
        "name_suffix": "Jr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "12654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Ear, Nose & Throat Associates, P.C.
• Connecticut Hearing Center
• Connecticut Imaging Partners, LLC
• Connecticut Surgical Group, PC
• John J Conroy, D.M.D, M.S.
• Counseling for Change and Growth LLC
• Lillian Couture, LPC
• Theresa Creamer, PA-C, RD
• Marisol Cruz
• CT Psychological & Assessment Center LLC

• Pharmacist in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.