Jeffrey Birk Costello, PHARMD
NPI 1063791879ActiveIndividual· Pharmacist· Bend, OR
Pharmacist (PHARMD) in Bend, Oregon, licensed in OR, with an NPI issued in August 2011. Part D covered 14 prescriptions written in 2024, 0% of them generic.
Overview
| NPI | 1063791879 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | Yes |
| NPI issued | Aug 10, 2011 |
| Last updated in NPPES | Apr 26, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | RHP-0011948 | OR |
| Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0011948 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 14 · 14 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $2,428 |
| Generic share | 0% of claims |
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