IndividualActive
Samuel Costello, REG PHARMACIST
NPI 1629120894 · Pharmacist · Decatur, AL
Samuel Costello, REG PHARMACIST is a Pharmacist provider in Decatur, AL (NPI 1629120894).
Provider details
- NPI number
- 1629120894
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- REG PHARMACIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7105 (AL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2422 Danville Rd Sw Ste J
Decatur, AL 35603-4221
Phone: (256) 353-1121
Fax: (256) 353-1790
Street-level locationGet directions
Mailing address
4405 Autumn Leaves Trl Se
Decatur, AL 35603-5340
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Samuel Costello's NPI number?
- Samuel Costello's National Provider Identifier (NPI) is 1629120894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Costello's specialty?
- Samuel Costello is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Samuel Costello located?
- Samuel Costello's practice location on file with NPPES is 2422 Danville Rd Sw Ste J, Decatur, AL 35603-4221.
- What is Samuel Costello's phone number?
- The practice phone number listed in the NPPES registry for Samuel Costello is (256) 353-1121.
- Is Samuel Costello's NPI active?
- Yes — Samuel Costello's NPI (1629120894) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.