COSTCO (NPI# 1164826772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164826772 |
| Entity Type | Organization |
| Organization Name | COSTCO |
| Practice Address |
25901 N Riverwoods Rd Mettawa IL 60045-3403 |
| Mailing Address |
1224 Inverrary Ln Deerfield IL 60015-3612 |
| Practice Telephone | 8472351302 |
| Mailing Telephone | 7739882479 |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2014-10-11 |
| Authorized Official Name | DR. ANGELA LEE (PHARMACIST) |
| Authorized Official Telephone | 7739882479 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
051295396 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1801225636 | Costco | Pharmacist | 19193 Pintail Ct, Purcellville, VA 20132-3957 | 2013-11-02 |
| 1699220210 | Costco | Pharmacist | 1445 R St, Merced, CA 95340-5850 | 2016-08-24 |
| 1558714477 | Costco | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2016-07-15 |
| 1366827933 | Costco | Clinic/Center | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2015-07-24 |
| 1134500838 | Costco | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-06-18 |
| 1457758195 | Costco | Pharmacy | 50 Overlook Blvd, Nanuet, NY 10954-5290 | 2014-11-24 |
| 1538566401 | Costco | Pharmacy | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2014-11-20 |
| 1437552353 | Costco | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2014-10-06 |
| 1043635709 | Costco | Public Health or Welfare | 1021 Woodruff Rd, Greenville, SC 29607-4108 | 2014-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COSTCO ATLANTA CIGARETTES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Massachusetts Corporations | COSTCO ATLANTIC LIQUORS, INC. | 120 Stockwell Dr., Avon, MA 02322 |
| New York State Corporations | COSTCO ATLANTIC LIQUORS, INC. | 28 Liberty St., New York, Ny 10005 |
| Washington State Corporations | COSTCO BEVERAGES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Washington State Corporations | COSTCO COMPANIES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Oregon Corporations, Companies and Business Names | COSTCO DEALS | 2474 Nw 113th Ave, Portland, OR 97229 |
| Colorado Business Entities | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Oregon Corporations, Companies and Business Names | COSTCO GASOLINE | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO HEALTH SOLUTIONS, INC. | 999 Lake Dr, Isaaquah, WA 98027 |
| Street Address |
25901 N RIVERWOODS RD |
| City | METTAWA |
| State | IL |
| Zip Code | 60045-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134439029 | Costco Wholesale Corporation | Pharmacy | 25901 N Riverwoods Rd, Mettawa, IL 60045 | 2010-10-14 |
| 1912374331 | Kevin Saiki | Pharmacist | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2015-09-02 |
| 1902291826 | Costco Wholesale Corporation | Hearing Aid Equipment | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2015-03-30 |
| 1508257643 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2015-02-11 |
| 1497151658 | Angela Lee | Pharmacist | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2014-11-14 |
| 1770866980 | Albert James Panozzo | Pharmacist | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133985 | Activate Healthcare | Clinic/Center | 2930 Montvale Dr Ste C, Springfield, IL 62704-5376 | 2020-10-30 |
| 1841899788 | Neuro Drive Pt, Pllc | Clinic/Center | 2300 W Wabansia Ave Apt 107, Chicago, IL 60647-5355 | 2020-10-21 |
| 1952929119 | Gray Healthcare Consulting Pllc | Clinic/Center | 57 Northgate Rd, Riverside, IL 60546-1638 | 2020-07-13 |
| 1225664683 | Men's Clinic, Pllc | Clinic/Center | 2700 S River Rd Ste 309, Des Plaines, IL 60018-4101 | 2020-03-18 |
| 1396389417 | Hirsch Advanced Practice Providers Ltd | Clinic/Center | 11422 S Western Ave, Chicago, IL 60643-4120 | 2019-10-31 |
| 1497308761 | Exquisite Care Spa and Wellness Inc. | Clinic/Center | 3257 N Sheffield Ave Ste 116, Chicago, IL 60657-2276 | 2019-07-16 |
| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
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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.