COSTCO WHOLESALE CORPORATION (NPI# 1366552978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366552978 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
1800 W Sample Rd Pompano Beach FL 33064 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 9549720313 |
| Practice Fax Number | 9549729738 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-24 |
| 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 |
PH11693 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1067164 | 01 |
| 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 |
1800 W SAMPLE RD |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558714477 | Costco | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2016-07-15 |
| 1396102836 | Nicole Balarezo | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2016-01-27 |
| 1124414404 | Costco Wholesale Corporation | Hearing Aid Equipment | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2015-04-13 |
| 1184018236 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2015-03-26 |
| 1720330095 | Elham Kousheshian | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2012-10-10 |
| 1730445594 | Robert M Salovitch | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2012-04-05 |
| 1891071445 | Ann M Kinney | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064 | 2011-10-27 |
| 1518240647 | Jeff Mark Weisler | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2011-09-26 |
| 1730366253 | Purvi Patel Talati | Optometrist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2008-01-28 |
| 1144416660 | Gita Hema Dangodara | Optometrist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2007-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
| 1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
| 1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
| 1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
| 1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
| 1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
| 1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
| 1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
| Find all providers in zip 33064 | ||||
| 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 |
|---|---|---|---|---|
| 1730548496 | Generic Pharmacy Inc | Pharmacy | 922 E Sample Rd, Pompano Beach, FL 33064-5131 | 2016-02-23 |
| 1255683306 | Infiniti Pharmacy and Infusion Services Inc | Pharmacy | 1338 N Federal Hwy, Pompano Beach, FL 33062-3730 | 2012-10-12 |
| 1568733228 | Briton Pharmacy Inc | Pharmacy | 1201 S Ocean Blvd Ste 14, Pompano Beach, FL 33062-6600 | 2012-01-25 |
| 1477823474 | Palm Medicine Inc | Pharmacy | 2711 E Atlantic Blvd, Pompano Beach, FL 33062-4941 | 2012-01-06 |
| 1467732289 | Thrift Pharmacy Inc. | Pharmacy | 94 E Mcnab Rd, Pompano Beach, FL 33060 | 2011-08-24 |
| 1578842738 | Meds Rx | Pharmacy | 750 E Sample Rd Bldg 3, Pompano Beach, FL 33064-5144 | 2011-08-05 |
| 1417251786 | Federal Discount Pharmacy Inc | Pharmacy | 229 S Federal Hwy, Pompano Beach, FL 33062-5322 | 2010-12-30 |
| 1093032823 | Sample Square Pharmacy | Pharmacy | 428 E Sample Rd, Pompano Beach, FL 33064-4424 | 2010-05-04 |
| 1154507564 | Chem Rx of Boca Raton LLC | Pharmacy | 5001 Nw 13th Ave, Ste H and I, Pompano Beach, FL 33064-8649 | 2008-01-16 |
| 1871677518 | Guardian Pharmacy of Pompano Beach, LLC | Pharmacy | 2301 Nw 33rd Ct, Suite 111, Pompano Beach, FL 33069-1000 | 2006-10-25 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.