COSTCO WHOLESALE CORPORATION (NPI# 1083008122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083008122 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #353 |
| Practice Address |
3775 Hacks Cross Rd Memphis TN 38125-2302 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 9012140052 |
| Practice Fax Number | 9012140056 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-06-04 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 9012140052 |
| Is Organization Subpart | Y |
| Parent Organization Name | COSTCO WHOLESALE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #353 | Doing Business As Name - Organization |
| 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 |
3775 HACKS CROSS RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649380270 | Costco Wholesale Corporation | Pharmacy | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2006-08-30 |
| 1205453214 | Autumn Volner | Pharmacist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2020-06-26 |
| 1194110437 | Costco Wholesale Corporation | Hearing Aid Equipment | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2015-04-03 |
| 1063795136 | Joyce Macnaughton Folse | Pharmacist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2011-09-24 |
| 1760765929 | David Wayne Murphy | Pharmacist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2011-09-23 |
| 1699942573 | Dr. Mike M Sandy, Optometrist, LLC | Optometrist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2008-05-10 |
| 1184896243 | Ashley Merrick Ramshur | Optometrist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2008-03-28 |
| 1649440793 | Michael Morris Sandy | Optometrist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2008-03-05 |
| 1609088020 | Kimberly Paige Collins | Pharmacist | 3775 Hacks Cross Rd, Memphis, TN 38125-2302 | 2007-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104357524 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 2840 N Germantown Pkwy, Memphis, TN 38133-8149 | 2017-03-27 |
| 1083999163 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 5849 Poplar Ave, Suite 109, Memphis, TN 38119-3949 | 2011-10-20 |
| 1992006159 | Eyemart Express Ltd | Eyewear Supplier (Equipment, not the service) | 4862 Poplar Avenue, Memphis, TN 38117 | 2010-11-04 |
| 1851446355 | Lenscrafters Inc | Eyewear Supplier (Equipment, not the service) | 6022 Hickory Ridge Mall, Memphis, TN 38115-8803 | 2007-01-24 |
| 1457406993 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3358 Raleigh Springs Mall, Memphis, TN 38128-3803 | 2007-01-24 |
| 1487708418 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2760 N Germantown Pkwy Ste 109, Memphis, TN 38133-8154 | 2007-01-23 |
| 1740350297 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 2760 N Germantown Pkwy, Suite 204, Memphis, TN 38133-8153 | 2006-11-09 |
| 1679656086 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 5040 Park Ave, Memphis, TN 38117-5709 | 2006-10-23 |
| 1225111636 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 2145 Union Ave, Memphis, TN 38104-4206 | 2006-10-23 |
| 1851474266 | Super D Drugs Acquisition, Co. | Eyewear Supplier (Equipment, not the service) | 4126 Elvis Presley Blvd, Memphis, TN 38116-5857 | 2006-10-23 |
| Find all providers in MEMPHIS | ||||
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| 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.