DR. MICHELLE MARIE COSTA (NPI# 1083699896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083699896 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIE COSTA |
| Credential | DOCTOR OF PHARMACY |
| Practice Address |
15240 S Harlan Rd Lathrop CA 95330-9754 |
| Mailing Address |
1543 Denese Ct Manteca CA 95337-9481 |
| Practice Telephone | 2098585787 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 56872 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407332422 | Michelle Costa | Behavior Technician | 4 Butterfield St Apt 5, Lowell, MA 01854-3438 | 2018-07-12 |
| 1154458529 | Michelle Claire Costa | Counselor | 4113 Williams Blvd, Kenner, LA 70065-2202 | 2007-02-27 |
| 1962548941 | Michelle F Costa | Internal Medicine | 90 Ter Heun Drive, Suite 101, Falmouth, MA 02540 | 2007-01-29 |
| Street Address |
15240 S HARLAN RD |
| City | LATHROP |
| State | CA |
| Zip Code | 95330-9754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053861088 | Lovedeep Bains | Pharmacist | 15240 S Harlan Rd, Lathrop, CA 95330-9754 | 2016-10-13 |
| 1306826342 | Save Mart Supermarkets | Pharmacy | 15240 S Harlan Rd, Lathrop, CA 95330-9754 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861919938 | Lathrop Pharmacy, LLC. | Pharmacy | 201 E. Louise Ave, Lathrop, CA 95330 | 2017-08-29 |
| 1063936052 | Japneet S Dhillon Dds Inc | Dentist | 15366 S Harlan Rd, Lathrop, CA 95330 | 2017-08-01 |
| 1992966253 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2008-06-19 |
| 1508023235 | Marysol B. Realon Dds A Prof. Dental Corp | Dentist | 259 E. Louise Ave, Lathrop, CA 95330 | 2008-05-20 |
| 1104048107 | Myduyen Tran | Dentist | 15136 Harlan Rd., Lathrop, CA 95330 | 2007-05-02 |
| 1043689193 | Joy Viscia Victoria Bareng | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2015-09-18 |
| 1851645287 | Amarpreet Kaur Sidhu | Pharmacist | 16858 Golden Valley Parkway, Lathrop, CA 95330 | 2012-11-07 |
| 1275801946 | Han Nguyen | Pharmacist | 16858 Golden Valley Pkwy, T2347, Lathrop, CA 95330 | 2011-12-08 |
| 1184910820 | Jennifer Leung | Pharmacist | 16858 Golden Valley Parkway, T-2347, Lathrop, CA 95330-7296 | 2011-06-21 |
| 1154959666 | Edgar D Lardizabal | Registered Nurse | 1705 Cranbrook Ct, Lathrop, CA 95330-8244 | 2020-03-30 |
| Find all providers in zip 95330 | ||||
| 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 |
|---|---|---|---|---|
| 1184910820 | Jennifer Leung | Pharmacist | 16858 Golden Valley Parkway, T-2347, Lathrop, CA 95330-7296 | 2011-06-21 |
| 1275148629 | Lucy Jacqueline Manzanero | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330-9240 | 2020-09-12 |
| 1871130930 | Grace Lin | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330-9240 | 2019-12-06 |
| 1528625100 | Jagpal Sandhu | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330-9240 | 2019-05-20 |
| 1053861088 | Lovedeep Bains | Pharmacist | 15240 S Harlan Rd, Lathrop, CA 95330-9754 | 2016-10-13 |
| 1043689193 | Joy Viscia Victoria Bareng | Pharmacist | 16858 Golden Valley Pkwy, Lathrop, CA 95330 | 2015-09-18 |
| 1801280003 | Kari Raman | Pharmacist | 14780 S Harlan Rd, Lathrop, CA 95330-9719 | 2015-03-25 |
| 1851645287 | Amarpreet Kaur Sidhu | Pharmacist | 16858 Golden Valley Parkway, Lathrop, CA 95330 | 2012-11-07 |
| 1275801946 | Han Nguyen | Pharmacist | 16858 Golden Valley Pkwy, T2347, Lathrop, CA 95330 | 2011-12-08 |
| 1437432804 | Danilo Padilla | Pharmacist | 14780 S Harlan Rd, Lathrop, CA 95330-9719 | 2011-09-22 |
| Find all providers in LATHROP | ||||
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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.