COSTCO WHOLESALE CORPORATION (NPI# 1174605950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174605950 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY #630 |
| Practice Address |
6670 Charlotte Pike Nashville TN 37209-4202 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 6153545109 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | MICHAEL MASTROMONICA (AVP PHARMACY) |
| Authorized Official Telephone | 4253132892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4318 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4439849 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY #630 | 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 |
| Street Address |
6670 CHARLOTTE PIKE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37209-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871524371 | William D Holladay | Optometrist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2006-07-05 |
| 1538766241 | Riley Donatelli | Pharmacist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2020-10-06 |
| 1801422589 | Clarity Vision Center Inc | Optometrist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2020-03-13 |
| 1588207211 | Maggie Catherwood | Pharmacist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2019-10-25 |
| 1215449095 | Francesann Amano | Pharmacist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2017-11-01 |
| 1326570110 | Harpeth Eyecare, Pllc | Optometrist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2017-03-30 |
| 1992252373 | Kristen Frye | Pharmacist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2016-09-02 |
| 1538554886 | Costco Wholesale Corporation | Hearing Aid Equipment | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2015-04-03 |
| 1346634482 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2015-03-26 |
| 1205248390 | Fredrick O'neal | Pharmacist | 6670 Charlotte Pike, Nashville, TN 37209-4202 | 2014-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930194 | Results-ast Jv, LLC | Physical Therapist | 6816 Charlotte Pike, Suite 103, Nashville, TN 37209 | 2020-10-21 |
| 1215564216 | Mercedes Ann Wirdzek | Registered Nurse | Metro Nashville Public Health, 2500 Charlotte Ave, Nashville, TN 37209 | 2020-03-27 |
| 1013574284 | Bao Truc Sybo | Dentist | 4502 Charlotte Pike, Nashville, TN 37209 | 2019-05-23 |
| 1609358043 | Allison Sorrells Kerr | Music Therapist | 5303 Nevada Ave, Nashville, TN 37209 | 2018-09-01 |
| 1588158455 | Tonya Melton | Nurse Practitioner | 1028 Mountain Valley Lane, Nashville, TN 37209 | 2018-06-14 |
| 1740796515 | Jill C Collins, LLC | Behavioral Analyst | 6339 Charlotte Pike # 507, Nashville, TN 37209 | 2017-12-15 |
| 1346753837 | Action Spine & Joint, LLC. | Chiropractor | 6410 Charlotte Pike Ste 102, Nashville, TN 37209 | 2017-11-07 |
| 1366976664 | Journeypure Nashville LLC | Substance Abuse Rehabilitation Facility | 3808 Park Ave, Nashville, TN 37209 | 2017-04-13 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1073921656 | Malinda Davenport Crisp | Counselor | 6300 Charlotte Ave., Nashville, TN 37209 | 2014-07-28 |
| Find all providers in zip 37209 | ||||
| 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 |
|---|---|---|---|---|
| 1497395503 | Capsule Nashville LLC | Pharmacy | 1207 Villa Pl Ste 101, Nashville, TN 37212-3018 | 2020-01-07 |
| 1518520717 | Dr. Hank, LLC | Pharmacy | 300 20th Ave N Ste 105, Nashville, TN 37203-2162 | 2019-04-15 |
| 1881167641 | Rarx IIi, LLC | Pharmacy | 1911 Church St Ste 208, Nashville, TN 37203-2313 | 2019-01-04 |
| 1174095970 | Clickscripts, LLC | Pharmacy | 6969 Sunnywood Dr, Nashville, TN 37211-8566 | 2018-12-19 |
| 1508353533 | Nashville Pharmacy Services LLC | Pharmacy | 442 Metroplex Dr Ste 400, Nashville, TN 37211-3112 | 2018-04-16 |
| 1033632682 | West Tennessee Eye Care, PC | Pharmacy | 2204 Crestmoor Rd Ste 200, Nashville, TN 37215-2002 | 2017-07-25 |
| 1164979795 | Carezone Pharmacy LLC | Pharmacy | 800 Airpark Center Dr Ste 809, Nashville, TN 37217-2942 | 2016-09-01 |
| 1255758769 | Nc Pharmacy Group, LLC | Pharmacy | 163 Nashville Commons Dr, Nashville, NC 27856-1823 | 2014-03-21 |
| 1063753697 | N E Haddox LLC | Pharmacy | 1508 Charlotte Ave, Nashville, TN 37203 | 2013-03-06 |
| 1497024368 | Nashville Pharmacy Services LLC | Pharmacy | 442 Metroplex Drive Suite 400, Nashville, TN 37211 | 2011-12-22 |
| Find all providers in NASHVILLE | ||||
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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.