Mrs Tara Lee Costa-wallace, PHARMD - Pharmacist in Bristol, RI

Mrs Tara Lee Costa-wallace, PHARMD is a Pharmacist based in Bristol, Rhode Island. Mrs Tara Lee Costa-wallace is licensed to practice in Rhode Island (license number RPH03692) and her current practice location is 580 Metacom Ave, Bristol, Rhode Island. She can be reached at her office (for appointments etc.) via phone at (401) 253-2723.

NPI number for Mrs Tara Lee Costa-wallace is 1629224456 and her current mailing address is 580 Metacom Ave, Bristol, Rhode Island. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629224456.

Contact Information

Mrs Tara Lee Costa-wallace, PHARMD
580 Metacom Ave,
Bristol, RI 02809-5182
(401) 253-2723
(401) 253-3980

Map and Direction


Healthcare Provider's Profile

Full NameMrs Tara Lee Costa-wallace
GenderFemale
SpecialityPharmacist
Location580 Metacom Ave, Bristol, Rhode Island
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629224456
  • Provider Enumeration Date: 08/12/2008
  • Last Update Date: 08/12/2008

Medical Identifiers

Medical identifiers for Mrs Tara Lee Costa-wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629224456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH03692 (Rhode Island)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Lee Costa-wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tara Lee Costa-wallace, PHARMD
580 Metacom Ave,
Bristol, RI 02809-5182

Ph: (401) 253-2723
Mrs Tara Lee Costa-wallace, PHARMD
580 Metacom Ave,
Bristol, RI 02809-5182

Ph: (401) 253-2723

Reviews and Comments


Pharmacist in Bristol, RI

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Phone: 401-254-3903    Fax: 401-254-3907
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Susan Helen Levesque-degrazia, RPH
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Practice Location: 400 Metacom Ave, Bristol, RI 02809
Phone: 401-253-2050    Fax: 401-254-7413

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.