COSTCO (NPI# 1538566401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538566401 |
| Entity Type | Organization |
| Organization Name | COSTCO |
| Practice Address |
2020 Commerce Dr Nw Rochester MN 55901-3246 |
| Practice Telephone | 5072861870 |
| Practice Fax Number | 5072861861 |
| Mailing Telephone | 5072861870 |
| Mailing Fax Number | 5072861861 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | PHIL HOANG VO (PHARMACIST) |
| Authorized Official Telephone | 5073586950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
118128 | MN | Suppliers |
| 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 |
| 1164826772 | Costco | Clinic/Center | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2014-10-11 |
| 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 |
2020 COMMERCE DR NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-3246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265615363 | Heidi Marcia Crabtree | Pharmacist | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2007-12-11 |
| 1700258134 | Randall Charles Goss | Pharmacist | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2015-10-26 |
| 1215308093 | Phil Hoang Vo | Pharmacist | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2015-10-19 |
| 1730574609 | Costco Wholesale Corporation | Hearing Aid Equipment | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2015-03-30 |
| 1417348269 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2015-02-16 |
| 1295088516 | Destini Hill | Pharmacist | 2020 Commerce Dr Nw, Rochester, MN 55901 | 2012-10-24 |
| 1295087591 | Costco Wholesale Corporation | Pharmacy | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2012-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1033726807 | Portland Pharmacy Inc | Pharmacy | 1295 Portland Ave Ste 2, Rochester, NY 14621-2726 | 2020-09-25 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1942776786 | Seneca Rx LLC | Pharmacy | 2780 Dewey Ave., Rochester, NY 14616 | 2018-10-19 |
| 1902319510 | Gleason Pharmacy Services Inc | Pharmacy | 441 S State St, Rochester, IL 62563-9297 | 2017-11-06 |
| 1275057572 | Walgreen Co | Pharmacy | 3122 Monroe Ave, Rochester, NY 14618-4606 | 2017-07-28 |
| 1821468299 | Hy Vee Inc | Pharmacy | 4221 W Circle Drive Nw, Rochester, MN 55901-8878 | 2015-09-29 |
| 1659765386 | Costco Wholesale Corporation | Pharmacy | 335 Westfall Rd, Rochester, NY 14620 | 2015-03-19 |
| 1275922072 | Trillium Health, Inc. | Pharmacy | 170 Science Pkwy, Rochester, NY 14620-4251 | 2015-01-16 |
| 1891109179 | New Clinton Pharmacy LLC | Pharmacy | 360 Saint Paul St, Rochester, NY 14605-1745 | 2014-06-16 |
| 1336586668 | University of Rochester | Pharmacy | 601 Elmwood Ave Rm 2-5425, Rochester, NY 14642-0001 | 2013-05-28 |
| Find all providers in ROCHESTER | ||||
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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.