IndividualActive
Jackoline Costantino, PHARM.D, BCCP
NPI 1750754685 · Cardiology Pharmacist · Fort Sam Houston, TX
Provider details
- NPI number
- 1750754685
- Entity type
- Individual
- Primary specialty
- Cardiology PharmacistPharmacy Service Providers
- Credential
- PHARM.D, BCCP
- Sex
- Female
- Sole proprietor
- Yes
- License
- P6864 (ID)
Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-0890
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Registry dates
- Enumerated
- 2015-10-30
- Last updated
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.