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LARRY PATRICK COSTELLO
NPI 1740857184
Pharmacist in Clear Lake, IA

Active since June 04, 2021
4668 N SHORE DR, CLEAR LAKE, IA 50428(641) 529-0820(877) 814-4512 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Patrick Costello NPPES

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

LARRY PATRICK COSTELLO (NPI 1740857184) is an individual pharmacist in Clear Lake, Iowa, licensed in Iowa (13166) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1740857184
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameLARRY PATRICK COSTELLO
Location Address4668 N SHORE DRClear Lake, IA 50428-1275
Mailing Address1907 Us Highway 18 EClear Lake, IA 50428-2004 · (641) 357-5271 · Fax (877) 814-4512
Phone(641) 529-0820
Fax(877) 814-4512
Sole ProprietorNo
Enumeration DateJune 4, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1740857184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IA · 13166
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.
4668 N SHORE DR, Clear Lake, IA 50428
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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 Larry Costello's NPI number?

The NPI number for Larry Costello is 1740857184. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Larry Costello located?

Larry Costello practices at 4668 N Shore Dr, Clear Lake, IA 50428. The listed phone number is (641) 529-0820.

What is Larry 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 Larry Costello was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.