DR. JEREMY COSTA (NPI# 1144631540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144631540 |
| Entity Type | Individual |
| Full Name | DR. JEREMY COSTA |
| Credential | PHARMD |
| Practice Address |
4901 State Road 26 E Lafayette IN 47905-4611 |
| Practice Telephone | 7654499233 |
| Mailing Telephone | 7654499233 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26025014A | IN | Pharmacy Service Providers |
| Street Address |
4901 STATE ROAD 26 E |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257514 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2012-01-10 |
| 1295380202 | Dylan Doner | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2019-08-06 |
| 1164989190 | Morgan Chantel Wetli | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2019-02-26 |
| 1265955199 | Grace Elizabeth Muroski | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2017-07-23 |
| 1043622350 | Marcia A Shaffer | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2014-05-21 |
| 1548670862 | Kristan Wilson | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2014-05-08 |
| 1609214477 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1265955199 | Grace Elizabeth Muroski | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2017-07-23 |
| 1043622350 | Marcia A Shaffer | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2014-05-21 |
| 1548670862 | Kristan Wilson | Pharmacist | 4901 State Road 26 E, Lafayette, IN 47905-4611 | 2014-05-08 |
| 1952743783 | Melissa Thompson | Pharmacist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2013-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265989933 | Lauren Mcnace | Pharmacist | 10062 Heather Brooke Dr, Osceola, IN 46561-7803 | 2016-09-09 |
| 1568833960 | Dawn D Christmas | Pharmacist | 5600 New Margaret Ave, Terre Haute, IN 47803 | 2015-10-12 |
| 1902277437 | Erin Haggart | Pharmacist | 5600 New Margaret Avenue, Pharmacy, Terre Haute, IN 47803 | 2015-10-09 |
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1174934558 | Kristen Brock | Pharmacist | 400 N Dan Jones Rd, Plainfield, IN 46168-1802 | 2014-05-19 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1124438023 | Mark Schutts | Pharmacist | 3610 Bremen Hwy, Mishawaka, IN 46544-6500 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.