COSTCO WHOLESALE (NPI# 1063534493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063534493 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE |
| Practice Address |
2700 Potomac Mills Cir Ste 200 Woodbridge VA 22192 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 7034907409 |
| Practice Fax Number | 7034907406 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2007-04-05 |
| 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 |
0201004150 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4839962 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306144431 | Costco Wholesale | Pharmacist | 1000 N. Rengstorff Ave., Mt. View, CA 94043 | 2011-03-15 |
| 1992232300 | Costco Wholesale | Pharmacy | 11000 Garden Grove Blvd, Suite 201, Garden Grove, CA 92843-1206 | 2017-05-16 |
| 1053854372 | Costco Wholesale | Pharmacy | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2016-11-18 |
| 1255881413 | Costco Wholesale | Pharmacy | 5901 Redwood Dr, Rohnert Park, CA 94928-2076 | 2016-10-11 |
| 1437438967 | Costco Wholesale | Pharmacy | 1801 10th Ave Nw, Issaquah, WA 98027-5384 | 2011-08-15 |
| 1023321544 | Costco Wholesale | Hearing Aid Equipment | 211 W Blackstock Rd, Spartanburg, SC 29301-1382 | 2010-07-26 |
| 1285946178 | Costco Wholesale | Hearing Aid Equipment | 3050 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2010-07-08 |
| 1134448376 | Costco Wholesale | Durable Medical Equipment & Medical Supplies | 1021 Woodruff Rd, Greenville, SC 29607-4108 | 2010-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Liquor Licenses | COSTCO WHOLESALE #1022 | 18414 Cottonwood Drive, Parker, CO 80138 |
| Colorado Liquor Licenses | COSTCO WHOLESALE #1030 | 5050 North Nevada Avenue, Colorado Springs, CO 80918 |
| Colorado Liquor Licenses | COSTCO WHOLESALE #629 | 16375 North Washington Street, Thornton, CO 80023 |
| Washington State Corporations | COSTCO WHOLESALE CANADA LTD. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| 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 |
| Street Address |
2700 POTOMAC MILLS CIR STE 200 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861574600 | Kim-hein Nguyen | Optometrist | 2700 Potomac Mills Cir, 105, Woodbridge, VA 22192-4625 | 2006-10-20 |
| 1114478963 | Chris Belles | Pharmacist | 2700 Potomac Mills Cir, Woodbridge, VA 22192-4625 | 2016-10-17 |
| 1891073839 | Lorraine Dolores Riggers-lassman | Optometrist | 2700 Potomac Mills Cir, Suite 208b, Woodbridge, VA 22192-4625 | 2011-07-25 |
| 1528378056 | Van-anh T. Nguyen, O.d., P.c | Optometrist | 2700 Potomac Mills Cir, Suite 208-b, Woodbridge, VA 22192-4625 | 2010-10-18 |
| 1003134248 | Russell Hale Mattern | Optometrist | 2700 Potomac Mills Cir, Suite 207, Woodbridge, VA 22192-4625 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1700375318 | Green Health Integrative & Wellness Pharmacy | Pharmacy | 2898 Dale Blvd Unit 105, Woodbridge, VA 22193-1118 | 2018-05-09 |
| 1629445796 | Opitiz Inc | Pharmacy | 2068 Daniel Stuart Sq, Woodbridge, VA 22191-3315 | 2015-08-25 |
| 1396904223 | Wegmans Food Markets Inc | Pharmacy | 14801 Dining Way, Woodbridge, VA 22191 | 2008-06-05 |
| 1497952238 | Harris Teeter, LLC | Pharmacy | 12745 Galveston Court, Woodbridge, VA 22192 | 2007-06-27 |
| 1255432795 | Omm Inc | Pharmacy | 14454 Jefferson Davis Hwy, Woodbridge, VA 22191-2806 | 2006-09-26 |
| 1083636765 | Virginia Cvs Pharmacy LLC | Pharmacy | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2006-07-24 |
| 1184143687 | Chlone Inc | Pharmacy | 458 Amboy Ave, Woodbridge, NJ 07095-2948 | 2017-09-15 |
| 1992182901 | Goodcare Pharmacy | Pharmacy | 14904 Jefferson Davis Hwy, Suite 101, Woodbridge, VA 22191-3908 | 2015-04-28 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE.
| 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.