DR. MICHAEL COSTA (NPI# 1710346663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710346663 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL COSTA |
| Credential | PHARMD |
| Practice Address |
475 W Finnie Flat Rd Camp Verde AZ 86322-7398 |
| Mailing Address |
3425 W Lucia Dr Phoenix AZ 85083-5886 |
| Practice Telephone | 9282393187 |
| Mailing Telephone | 6235167707 |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S021762 | AZ | 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 |
| 1598304354 | Michael A Costa | Pharmacist | 1 Hawley Ln, Stratford, CT 06614-1200 | 2019-12-26 |
| 1184278244 | Michael Costa Jr. | Physical Therapy Assistant | 1251 White Mountain Hwy, North Conway, NH 03860-5154 | 2019-07-27 |
| 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 |
475 W FINNIE FLAT RD |
| City | CAMP VERDE |
| State | AZ |
| Zip Code | 86322-7398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982835617 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2009-07-29 |
| 1932575511 | Jared Matthew Evans | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2015-08-18 |
| 1356758544 | Bernadine Bunt | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2014-07-19 |
| 1467796243 | Richard Jee | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244234 | Aileen Green | Specialist/Technologist | Camp Verde Elementary, 200 Camp Lincoln Rd, Camp Verde, AZ 86322 | 2020-10-29 |
| 1295358083 | Michelle Thu Nguyen | Dentist | 1996 Doug's Park Rd., Camp Verde, AZ 86322 | 2020-05-27 |
| 1982140372 | Kelly Michaud Ayotte | Nurse Practitioner | 885 S. Peach Lane, Camp Verde, AZ 86322 | 2017-01-10 |
| 1508225301 | Jennifer Lynn Wolf | Specialist/Technologist | 253 E Stolen Blvd, Camp Verde, AZ 86322 | 2016-02-22 |
| 1700288792 | Ramiro Lambaria IIi | Dentist | 1996 Doug's Park Rd, Camp Verde, AZ 86322 | 2014-09-22 |
| 1457768459 | Tammy Sue Oothoudt | Psychiatric Residential Treatment Facility | 1140 South Little Fox Trail, Camp Verde, AZ 86322 | 2014-07-22 |
| 1669798146 | Camp Verde Family Chiropractic & Wellness Center Inc. | Chiropractor | 564 Main Street Suite #108, Camp Verde, AZ 86322 | 2010-04-09 |
| 1841522869 | Kyle Earl French | Chiropractor | 564 S Main Street, Suite 108, Camp Verde, AZ 86322 | 2010-02-01 |
| 1386871440 | Kadeen Mansor | Physical Therapist | 6345 S Cedar Springs St, Camp Verde, AZ 86322 | 2009-06-16 |
| 1811146574 | Karin M. Hauenstein | Social Worker | 449 Sixth Street, Camp Verde, AZ 86322 | 2008-09-17 |
| Find all providers in zip 86322 | ||||
| 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 |
|---|---|---|---|---|
| 1053920918 | Gabriella Colon | Pharmacist | 522 W Finnie Flat Rd Ste A, Camp Verde, AZ 86322-7265 | 2020-07-27 |
| 1588065825 | Paul Brncik Jr. | Pharmacist | 2961 Vernon Ave, Camp Verde, AZ 86322-6200 | 2014-09-05 |
| 1700116811 | Robert Ernest Weston | Pharmacist | 475 W Finnie Flats Rd, Camp Verde, AZ 86322-7398 | 2010-01-12 |
| 1932575511 | Jared Matthew Evans | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2015-08-18 |
| 1356758544 | Bernadine Bunt | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2014-07-19 |
| 1821400094 | Robert Simbric | Pharmacist | 522 W Finnie Flat Rd, Suite A, Camp Verde, AZ 86322-7265 | 2014-05-22 |
| 1487073524 | Randall Lee Wilber | Pharmacist | 522 W Finnie Flat Rd, Camp Verde, AZ 86322-7265 | 2014-04-15 |
| 1467796243 | Richard Jee | Pharmacist | 475 W Finnie Flat Rd, Camp Verde, AZ 86322-7398 | 2012-11-19 |
| 1669702635 | Douglas George Akovenko | Pharmacist | 475 W Finnie Flats Rd, Camp Verde, AZ 86322-7398 | 2010-01-13 |
| 1972638781 | Susan M Malloy | Pharmacist | 522 W Finnie Flats Rd, Suite A, Camp Verde, AZ 86322-7265 | 2007-02-22 |
| Find all providers in CAMP VERDE | ||||
| City | CAMP VERDE |
| Zip Code | 86322 |
Please comment or provide details below to improve the information on DR. MICHAEL COSTA.
| 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.