DR. CARMEN LEIGH COSTELLO (NPI# 1972621787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972621787 |
| Entity Type | Individual |
| Full Name | DR. CARMEN LEIGH COSTELLO |
| Credential | PHARMD |
| Practice Address |
310 Sw Ward Rd Lees Summit MO 64081-2445 |
| Mailing Address |
9407 Eastern Ave Kansas City MO 64138-4214 |
| Practice Telephone | 8165542211 |
| Practice Fax Number | 8165542086 |
| Mailing Telephone | 8167186022 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2005031064 | MO | Pharmacy Service Providers |
| Street Address |
310 SW WARD RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039726 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2006-07-06 |
| 1144613662 | Steven Noe | Pharmacist | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2015-03-09 |
| 1023401528 | Lindsay Kroll | Pharmacy Technician | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2015-03-09 |
| 1770976284 | Dana Mccain | Pharmacist | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2015-03-08 |
| 1386042596 | Kristin Brummel | Pharmacist | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2014-12-22 |
| 1376940700 | Jennifer Dampf | Dietitian, Registered | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2014-12-01 |
| 1275856676 | Michelle Deborah Arasim Diekmann | Dietitian, Registered | 310 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| 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 |
|---|---|---|---|---|
| 1386245108 | Stephanie Mummert | Pharmacist | 404 Nw Highcliffe Dr, Lees Summit, MO 64081-2061 | 2020-11-06 |
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1982254066 | Patrick Sten | Pharmacist | 202 Nw Oldham Pkwy, Lees Summit, MO 64081-1520 | 2019-09-19 |
| 1023594124 | Michala Foster | Pharmacist | 6 Ne Sycamore St # A, Lees Summit, MO 64086-9578 | 2018-07-12 |
| 1801384219 | Christina Michelle Copsey | Pharmacist | 503 Nw Timber Ridge Trl, Lees Summit, MO 64081-2079 | 2018-05-01 |
| 1962929547 | Danelle Christian | Pharmacist | 1535 Ne Rice Rd Ste A, Lees Summit, MO 64086-5849 | 2017-08-24 |
| 1255747101 | Melissa Gabriel | Pharmacist | 2418 Ne Old Paint Ct, Lees Summit, MO 64086-7036 | 2014-07-10 |
| 1821403874 | Shannon Fager | Pharmacist | 1215 Ne Cardinal Cir, Lees Summit, MO 64064-3206 | 2014-06-29 |
| 1891129714 | Christine J Pitcher | Pharmacist | 516 Ne Jasper Cir, Lees Summit, MO 64064-1250 | 2013-08-27 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
Please comment or provide details below to improve the information on DR. CARMEN LEIGH 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.