COSTCO WHOLESALE CORPORATION (NPI# 1376937425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376937425 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO OPTICAL #361 |
| Practice Address |
1085 Hanes Mall Blvd Winston Salem NC 27103-1310 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 3369702301 |
| Practice Fax Number | 3369702317 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | ART SALAS (AVP OPTICAL) |
| Authorized Official Telephone | 3369702301 |
| 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) | 1615 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Optical #361 | 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 |
1085 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871603407 | Costco Wholesale Corporation | Pharmacy | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2006-08-30 |
| 1164906103 | Shelby Eloise Cahoon | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-09-15 |
| 1588163026 | Phillip Richmond Transou | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-02-11 |
| 1194111674 | Costco Wholesale Corporation | Hearing Aid Equipment | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-04-10 |
| 1508254244 | Beth W Harris | Optometrist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-01-05 |
| 1952665895 | Jennifer Lynn Ostrander | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-06-26 |
| 1629343231 | John Lowell Koford | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-03-14 |
| 1922373836 | Larry Eugene Elliott | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2012-03-12 |
| 1245513456 | Robert Terrell Pace | Pharmacist | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1912443755 | Salem Optical Outlet | Eyewear Supplier (Equipment, not the service) | 4310 Enterprise Dr, Suite I, Winston Salem, NC 27106-3260 | 2017-01-18 |
| 1770840514 | Coliseum Eyewear | Eyewear Supplier (Equipment, not the service) | 611 Coliseum Dr, Winston Salem, NC 27106-5310 | 2012-04-18 |
| 1720243363 | Winston Salem Industries for The Blind | Eyewear Supplier (Equipment, not the service) | 7730 N Point Blvd, Optical Dispensary, Winston Salem, NC 27106-3310 | 2008-07-23 |
| 1962555870 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3320 Silas Creek Pkwy Ste Dl404, Winston Salem, NC 27103-3031 | 2007-01-22 |
| 1669543948 | Pearle Vision Inc. | Eyewear Supplier (Equipment, not the service) | 1010 S Stratford Rd, Winston Salem, NC 27103-3206 | 2006-11-10 |
| 1366993347 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1040 Hanes Mall Blvd, Winston Salem, NC 27103-1309 | 2016-10-14 |
| 1154729044 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3732 Creekshire Ct, Winston Salem, NC 27103-1363 | 2014-12-09 |
| 1720356058 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3316 Silas Creek Pkwy, Winston Salem, NC 27103-3011 | 2011-12-01 |
| 1033368220 | Drs Gough & Latham | Eyewear Supplier (Equipment, not the service) | 1010 S Stratford Rd, Winston Salem, NC 27103-3206 | 2008-09-12 |
| 1649394891 | Eyewear Unlimited Optical Shop | Eyewear Supplier (Equipment, not the service) | 224 Town Run Ln, Winston Salem, NC 27101-3911 | 2007-03-16 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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.