COSTCO 1042 (NPI# 1154799922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154799922 |
| Entity Type | Organization |
| Organization Name | COSTCO 1042 |
| Practice Address |
2300 Middlefield Rd Redwood City CA 94063-2854 |
| Practice Telephone | 6505684049 |
| Mailing Telephone | 6505684049 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | MRS. LAKSHMI GANGIREDLA (PHARMACY/MANAGER) |
| Authorized Official Telephone | 6505684049 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 56490 | CA | Suppliers |
| Street Address |
2300 MIDDLEFIELD RD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275643876 | Costco Wholesale Corporation | Pharmacy | 2300 Middlefield Rd, Redwood City, CA 94063 | 2006-08-30 |
| 1154980845 | Parnian Massoomi | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2019-06-06 |
| 1578956587 | Costco Wholesale Corporation | Hearing Aid Equipment | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2015-03-16 |
| 1154711661 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2015-02-04 |
| 1851657860 | Vinson C Lee | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2012-04-03 |
| 1053697102 | Protima Rao | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2011-11-02 |
| 1477839942 | Thuy Huynh | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2011-10-28 |
| 1184909749 | Kathleen Young | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2011-10-14 |
| 1700161676 | Kamal J Sud | Pharmacist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2011-10-11 |
| 1407182090 | Karen Li Cheng | Optometrist | 2300 Middlefield Rd, Redwood City, CA 94063-2854 | 2009-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629566534 | Cardinal Health 132, LLC | Pharmacy | 2710 Middlefield Rd Ste 125, Redwood City, CA 94063-3404 | 2018-04-26 |
| 1275643876 | Costco Wholesale Corporation | Pharmacy | 2300 Middlefield Rd, Redwood City, CA 94063 | 2006-08-30 |
| 1184029324 | Kaiser Foundation Hospitals | Pharmacy | 1100 Veterans Blvd, Hosp Bldg, Fl 3, Redwood City, CA 94063-2037 | 2014-10-30 |
| 1396150298 | Kaiser Foundation Health Plan Inc | Pharmacy | 1190 Veterans Blvd, Cypress Bldg, Fl 2 Rm 110, Redwood City, CA 94063-2037 | 2014-06-30 |
| 1437287802 | Medical Center Pharmacies Inc | Pharmacy | 3137 Jefferson Ave, Redwood City, CA 94062-2959 | 2007-02-28 |
| 1700822327 | Sequoia Hospital Pharmacy | Pharmacy | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2799 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on COSTCO 1042.
| 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.