MICHAEL A COSTA (NPI# 1598304354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598304354 |
| Entity Type | Individual |
| Full Name | MICHAEL A COSTA |
| Credential | PHARMD |
| Practice Address |
1 Hawley Ln Stratford CT 06614-1200 |
| Practice Telephone | 2033837738 |
| Mailing Telephone | 2033837735 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0014852 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528422680 | Michael Costa | Behavioral Analyst | 1144 Langhorn St, Lancaster, CA 93535-2794 | 2016-04-05 |
| 1629183108 | Michael Thomas Costa | Chiropractor | 9945 Charlotte Hwy, Fort Mill, SC 29715-7134 | 2006-08-21 |
| 1144252529 | Michael E Costa | Dentist | 100 Slocum Dr, King Cove, AK 99612 | 2006-07-07 |
| 1538199005 | Michael E Costa | Acupuncturist | 9300 S Dixie Hwy, Miami, FL 33156-2935 | 2006-07-03 |
| 1184278244 | Michael Costa Jr. | Physical Therapy Assistant | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2019-07-27 |
| 1710346663 | Michael Costa | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2016-02-21 |
| 1851705834 | Michael J Costa Jr. | Dentist | 2d Denbn/ndc Psc 20130 315 Mchugh Blvd, Commanding Officer, Camp Lejeune, NC 28542-0130 | 2014-06-17 |
| 1043480551 | Michael Louis Costa | Dentist | 62 Hart Blvd, Staten Island, NY 10301-2613 | 2008-03-11 |
| 1033314653 | Michael John Costa | Pathology | 5445 Avenue O, Fort Madison, IA 52627-9611 | 2007-06-15 |
| 1619080611 | Michael Joseph Costa | Family Medicine | 11131 Journal Parkway, King George, VA 22485 | 2006-08-16 |
| Street Address |
1 HAWLEY LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891899720 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1 Hawley Ln, Stratford, CT 06614-1200 | 2006-09-12 |
| 1083226013 | Shaneika Amanda Mckenzie | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2020-08-20 |
| 1851937692 | Amy Lynn Wargo | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2019-11-26 |
| 1124576152 | Mara Chamoures | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2016-09-20 |
| 1407219785 | Melanie Laskowski | Pharmacist | 1 Hawley Ln, Stratford, CT 06614-1200 | 2016-04-03 |
| 1023494036 | Christine Rosa | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2015-08-03 |
| 1982956116 | Erin Elizabeth Rossettie | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2012-10-11 |
| 1083752893 | Jacqueline Spano | Nurse Practitioner | 1 Hawley Ln, Stratford, CT 06614-1200 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1477174878 | John Healey | Pharmacist | 85 Kenyon St, Stratford, CT 06614-2511 | 2020-04-27 |
| 1972013951 | Kacie Samantha Coleman | Pharmacist | 355 Hawley Ln, Stratford, CT 06614-1514 | 2017-10-04 |
| 1659722742 | James Trojanowski | Pharmacist | 1367 Broadbridge Ave, Stratford, CT 06615-5702 | 2016-06-29 |
| 1326408626 | Elliott Prussel | Pharmacist | 622b Onondaga Ln, Stratford, CT 06614-8320 | 2016-02-29 |
| 1346625936 | Andrew Lin | Pharmacist | 1111 Stratford Ave, 515, Stratford, CT 06615-6344 | 2015-07-23 |
| 1124453295 | Krunal Karavadia | Pharmacist | 25 S White Horse Pike, Stratford, NJ 08084-1520 | 2013-09-09 |
| 1366710485 | Elaine Zielinski | Pharmacist | 1 Hawley Lane, Stratford, CT 06614 | 2011-12-03 |
| 1386933026 | Rite Aide | Pharmacist | 3680 Main St, Stratford, CT 06614-4102 | 2011-04-04 |
| 1881907947 | Jon Leonard Weber | Pharmacist | 231 Cornell Ave, Stratford, NJ 08084-1121 | 2010-07-19 |
| 1205148699 | Binta D Amin | Pharmacist | 100 Warwick Rd. & Longwood Dr., Stratford, NJ 08084-2229 | 2010-07-14 |
| Find all providers in STRATFORD | ||||
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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.