Active NPI
Lisa T Costanigro, PHARMD
- Pharmacist
- Fort Collins, CO
National Provider Identifier
1922102565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17999
- Practice address
- 1024 S Lemay Ave
80524-3929
Fort Collins, CO 80524-3929 - Phone
- (970) 495-7000
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- 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 | 17999 | CO | Primary |
Addresses
Primary practice location
1024 S Lemay Ave
80524-3929
Fort Collins, CO 80524-3929
Mailing address
1624 Tanglewood Dr
Fort Collins, CO 80525-2047
Phone (970) 672-4801
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17999 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1922102565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 TANGLEWOOD DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252047",
"telephone_number": "970-672-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 S LEMAY AVE",
"address_2": "80524-3929",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243929",
"telephone_number": "970-495-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTANIGRO",
"first_name": "LISA",
"middle_name": "T",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.