JESSICA NICOLE COSTELLO (NPI# 1750864989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750864989 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE COSTELLO |
| Credential | PHARMD |
| Practice Address |
81 Telegraph Rd Middleport NY 14105-9638 |
| Practice Telephone | 7167353261 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 064643 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932761442 | Jessica Lyn Costello | Behavior Technician | 21023 Amie Ave, Torrance, CA 90503-4747 | 2019-07-03 |
| 1598169500 | Jessica Costello | Nurse Practitioner | 1202 Suncrest Town Centre Dr, Morgantown, WV 26505-1828 | 2014-10-20 |
| 1134434244 | Jessica Marie Costello | Case Manager/Care Coordinator | 2525 W Anklam Rd, #111, Tucson, AZ 85745-1874 | 2010-08-12 |
| 1801325154 | Jessica Costello | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2017-06-09 |
| 1922477116 | Jessica Costello | Physical Therapy Assistant | 800 N Medcalf Ln, Montesano, WA 98563-1318 | 2015-09-17 |
| Street Address |
81 TELEGRAPH RD |
| City | MIDDLEPORT |
| State | NY |
| Zip Code | 14105-9638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689763625 | Stephen L. Giroux | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-0188 | 2006-10-11 |
| 1780201350 | Justine Battaglia | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2020-06-30 |
| 1639726169 | Merin Varughese Panthapattu | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2019-08-20 |
| 1376109850 | Moden Giroux Inc | Pharmacy | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2019-05-10 |
| 1295245470 | Kara Loughlin Wilcox | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2017-10-02 |
| 1033562517 | Michael Burns | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2016-07-19 |
| 1235507369 | Amanda Pinski | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2015-09-05 |
| 1851792931 | Lisa Garza | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2014-09-09 |
| 1164646113 | John Michael Stahl | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306194253 | Catherine Pearl Granzow | Chiropractor | 9 N Hartland St, Middleport, NY 14105-1003 | 2012-08-27 |
| 1821251323 | Celeste Stahl Balaban | Internal Medicine | 21 N Main St, Middleport, NY 14105-1027 | 2008-07-03 |
| 1427220953 | Jamal Hussain Dpt, P C | Specialist | 23 N Main St, Middleport, NY 14105-1027 | 2008-03-25 |
| 1548309446 | David Stahl, Md | Internal Medicine | 21 N Main St, Middleport, NY 14105-1027 | 2007-02-06 |
| 1407957194 | Ronald K. Miller | Physician Assistant | 21 N Main St, Middleport, NY 14105-1027 | 2006-09-26 |
| 1255313391 | David Stahl | Internal Medicine | 21 N Main St, Middleport, NY 14105-1027 | 2005-11-15 |
| 1487998860 | Rebecca Lynn Klos | Licensed Practical Nurse | 6 Washington St, Middleport, NY 14105-1109 | 2012-11-25 |
| 1063565992 | Royalton-hartland Csd | Local Education Agency (LEA) | 54 State St, Middleport, NY 14105-1114 | 2007-01-22 |
| 1255855714 | Sara Elizabeth Burgess | Emergency Medical Technician, Basic | 21 State St, Middleport, NY 14105-1125 | 2017-07-26 |
| 1982866877 | Shelley S Bath | Radiology | 14 Locust Dr, Middleport, NY 14105-1310 | 2008-07-01 |
| Find all providers in zip 14105 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689763625 | Stephen L. Giroux | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-0188 | 2006-10-11 |
| 1871104570 | Casey Lynn Kern | Pharmacist | 81 Rochester Rd, Middleport, NY 14105-9638 | 2020-08-14 |
| 1780201350 | Justine Battaglia | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2020-06-30 |
| 1639726169 | Merin Varughese Panthapattu | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2019-08-20 |
| 1184183055 | Amanda Ashley Foster | Pharmacist | 81 Rochester Rd, Middleport, NY 14105-9638 | 2019-03-19 |
| 1295245470 | Kara Loughlin Wilcox | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2017-10-02 |
| 1033562517 | Michael Burns | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2016-07-19 |
| 1568815397 | Patrick Mccabe | Pharmacist | 81 Rochester Rd, Middleport, NY 14105-9638 | 2016-07-17 |
| 1558730986 | Marisa Censi | Pharmacist | 81 Rochester Rd, Middleport, NY 14105-9638 | 2015-09-16 |
| 1235507369 | Amanda Pinski | Pharmacist | 81 Telegraph Rd, Middleport, NY 14105-9638 | 2015-09-05 |
| Find all providers in MIDDLEPORT | ||||
| City | MIDDLEPORT |
| Zip Code | 14105 |
Please comment or provide details below to improve the information on JESSICA NICOLE COSTELLO.
| 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.