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KELLY MARIE COSTELLO
NPI 1194237495
Pharmacist in East Chicago, IN

Active since October 26, 2017
2123 E COLUMBUS DR, EAST CHICAGO, IN 46312(219) 397-6911 Get Directions Write a Review

NPPES record last updated: December 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2022, Oct 26, 2017 (2 updates tracked since 2017).

About Kelly Marie Costello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MARIE COSTELLO (NPI 1194237495) is an individual pharmacist in East Chicago, Indiana, licensed in Illinois (051300725) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1194237495
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY MARIE COSTELLO
Location Address2123 E COLUMBUS DREast Chicago, IN 46312-2831
Mailing Address2123 E Columbus DrEast Chicago, IN 46312-2831 · (219) 397-6911
Phone(219) 397-6911
Sole ProprietorNo
Enumeration DateOctober 26, 2017
Last NPPES UpdateDecember 17, 20222 updates tracked since enumeration
NPPES CertifiedDecember 17, 2022
✔ NPI 1194237495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in IL · 051300725✔ Licensed in IN · 26029134A
Definition
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.
2123 E COLUMBUS DR, East Chicago, IN 46312
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRA DAMNJANOVIC
Pharmacist
2123 E COLUMBUS DR
EAST CHICAGO, IN 46312
Lake County (219) 397-6911
DR. TODOR TEDDY BARIC PHARMD
Pharmacist
2123 E COLUMBUS DR
EAST CHICAGO, IN 46312
Lake County (219) 397-6911
WALGREEN CO
Pharmacy
2123 E COLUMBUS DR
EAST CHICAGO, IN 46312
Lake County (219) 397-6911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Costello's NPI number?

The NPI number for Kelly Costello is 1194237495. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Kelly Costello located?

Kelly Costello practices at 2123 E Columbus Dr, East Chicago, IN 46312. The listed phone number is (219) 397-6911.

What is Kelly Costello's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Costello was last updated on December 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.