Active NPI
Kevin Costello, RPH
- Pharmacist
- Chicago, IL
National Provider Identifier
1962888461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051035403
- Practice address
- 151 N State St
Chicago, IL 60601-3601 - Phone
- (312) 863-4249
- NPI assigned
- Aug 6, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051035403 | IL | Primary |
| Pharmacist | 183500000X | PH2780 | HI |
Addresses
Primary practice location
151 N State St
Chicago, IL 60601-3601
Mailing address
400 E Randolph St
2517
Chicago, IL 60601-7329
Phone (708) 250-8097
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 |
|---|---|---|---|
| PH2780 | HI | MD | Pharmacist |
| 051035403 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1962888461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E RANDOLPH ST",
"address_2": "2517",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606017329",
"telephone_number": "708-250-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 N STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013601",
"telephone_number": "312-863-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTELLO",
"first_name": "KEVIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051035403",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH2780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.