COSTCO WHOLESALE CORPORATION (NPI# 1023128634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023128634 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
1601 Coleman Ave Santa Clara CA 95050 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 4089880565 |
| Practice Fax Number | 4085679061 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | VICTOR CURTIS (SVP PHARMACY) |
| Authorized Official Telephone | 4253137206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY41068 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0591695 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1356954713 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 650 Garden Park Blvd, Cherry Hill, NJ 08002 | 2020-08-26 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1043838584 | Costco Wholesale Corporation | Pharmacy | 3403 W Chinden Blvd, Meridian, ID 83646-7151 | 2020-07-10 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1265054324 | Costco Wholesale Corporation | Pharmacy | 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 | 2020-05-12 |
| 1265072292 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 700 Highland Colony Pkwy, Ridgeland, MS 39157-8701 | 2020-01-07 |
| 1275183568 | Costco Wholesale Corporation | Hearing Aid Equipment | 995 Blue Gentian Rd, Eagan, MN 55121-1542 | 2019-09-18 |
| 1124675228 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 284 Flanders Rd, East Lyme, CT 06333-1710 | 2019-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Colorado Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Dr, Issaquah, WA 98027 |
| Vermont Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| New York State Corporations | COSTCO WHOLESALE CORPORATION | 28 Liberty St., New York, New York 10005 |
| Massachusetts Corporations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Connecticut Business Registrations | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, WA 98027 |
| Virginia Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, Washington 98027 |
| Street Address |
1601 COLEMAN AVE |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124411764 | Costco Wholesale Corporation | Hearing Aid Equipment | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2015-03-06 |
| 1053701755 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2015-02-02 |
| 1174945752 | Kellie Chew | Pharmacist | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2014-01-15 |
| 1932477569 | Dean M Harpster | Pharmacy Technician | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2011-12-10 |
| 1093083628 | Sandra Evelyn Peltz | Pharmacist | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2011-12-09 |
| 1235411331 | Thuy Thanh Tran | Pharmacist | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2011-09-14 |
| 1932407509 | Kenneth David Lawyer | Pharmacist | 1601 Coleman Ave, Santa Clara, CA 95050-3122 | 2011-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446115 | Amanda Tatiana Perez | Behavior Technician | 126. Main St, Santa Clara, CA 95050 | 2020-01-15 |
| 1942854013 | Beatrice M Roque | Behavior Technician | 1171 Homestead Rd Ste.250, Santa Clara, CA 95050 | 2019-07-27 |
| 1619433836 | Angelica Chavez | Behavioral Analyst | 1171 Homested Rd Ste 250, San Jose, CA 95050 | 2019-02-12 |
| 1578047551 | Tran and Nguyen Dental Corporation | Dentist | 1171 Homestead Rd Suite #214, Santa Clara, CA 95050 | 2018-09-17 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1174016117 | Kahrizak Foundation Inc. | Assisted Living Facility | 1818 Scott Blvd, Santa Clara, CA 95050 | 2018-06-13 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1801321583 | Alexandra Araujo | Behavior Technician | 962 Reeve St, Santa Clara, CA 95050 | 2017-05-01 |
| 1366830127 | Christina Altemueller | Marriage & Family Therapist | 2797 Park Avenue, Suite 200, Santa Clara, CA 95050 | 2015-01-02 |
| 1922411503 | Olivia Brown Krakower | Speech-Language Pathologist | 1880 Pruneridge Avenue, Santa Clara, CA 95050 | 2014-06-11 |
| Find all providers in zip 95050 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396106670 | Ft Bayard Medical Center Department of Health | Pharmacy | 41 Ft. Bayard Rd., Santa Clara, NM 88026 | 2016-03-14 |
| 1689074791 | Garfield Beach Cvs LLC | Pharmacy | 2004 El Camino Real, Santa Clara, CA 95050-4051 | 2014-08-26 |
| 1275681884 | Kaiser Foundation Health Plan Inc | Pharmacy | 710 Lawrence Expy Fl 2, Santa Clara, CA 95051-5173 | 2007-01-08 |
| 1366590978 | Kaiser Foundation Health Plan Inc | Pharmacy | 710 Lawrence Expy Fl 3, Santa Clara, CA 95051-5173 | 2007-01-08 |
| 1508104712 | Fusion Specialty Pharmacy Inc | Pharmacy | 1100 Canyon View Dr Ste C, Santa Clara, UT 84765-5672 | 2013-01-23 |
| 1447456983 | Kaiser Foundation Health Plan Inc | Pharmacy | 700 Lawrence Expy, 1st Floor, Santa Clara, CA 95051-5173 | 2007-06-22 |
| 1427275528 | Choong Ang Pharmacy Inc | Pharmacy | 2344 El Camino Real, Ste 114, Santa Clara, CA 95050-4072 | 2007-04-19 |
| 1528102696 | Save Mart Supermarkets | Pharmacy | 3705 El Camino Real, Santa Clara, CA 95051-2614 | 2007-02-20 |
| 1982749891 | Han's Pharmacy | Pharmacy | 3423 El Camino Real, Santa Clara, CA 95051-2806 | 2007-02-20 |
| 1114079191 | Kaiser Foundation Hospitals | Pharmacy | 900 Kiely Blvd, Santa Clara, CA 95051-5329 | 2007-01-18 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95050 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.