COSTCO (NPI# 1558714477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558714477 |
| Entity Type | Organization |
| Organization Name | COSTCO |
| Other Organization Name | PHARNACY |
| Practice Address |
1800 W Sample Rd Pompano Beach FL 33064-1324 |
| Mailing Address |
11064 Brandywine Lake Way Boynton Beach FL 33473-4888 |
| Practice Telephone | 9549720313 |
| Practice Fax Number | 9549729738 |
| Mailing Telephone | 9545514692 |
| Mailing Fax Number | 9549720368 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |
| Authorized Official Name | MR. JEFFREY MARK WEISLER (PHARMACIST) |
| Authorized Official Telephone | 9545514692 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PS15275 | FL | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| Pharnacy | Doing Business As Name - Organization |
| 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 |
| 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 |
| 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 |
1800 W SAMPLE RD |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33064-1324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366552978 | Costco Wholesale Corporation | Pharmacy | 1800 W Sample Rd, Pompano Beach, FL 33064 | 2006-08-30 |
| 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 | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209587 | Tonia Michelle Murray | Pharmacist | 7820 111th Ter E, Parrish, FL 34219-2830 | 2020-03-11 |
| 1447814785 | Julie Marie Pippins | Pharmacist | 806 Ocean Front, Neptune Beach, FL 32266-6057 | 2019-04-23 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1255809943 | Sarah Powers | Pharmacist | 3804 65th Ave E, Sarasota, FL 34243-7923 | 2018-11-12 |
| 1124595061 | Stefan Correa | Pharmacist | 9498 S.orange Blossom Trl, Orlando, FL 32837-8326 | 2018-10-29 |
| 1811475130 | Kwame Kyerematen-afrani | Pharmacist | 6266 S Congress Ave Ste L12, Lantana, FL 33462-2365 | 2018-07-30 |
| 1548773906 | Leslie Alteri | Pharmacist | 1973 Wild Lime Dr, Sanibel, FL 33957-2403 | 2017-11-08 |
| 1093254708 | Toni Elkach | Pharmacist | 13124 Winfield Scott Blvd, Orlando, FL 32837-4007 | 2017-02-14 |
| 1619329810 | Curtis Hearn | Pharmacist | 2113 W Lakeview Blvd, N Fort Myers, FL 33903-5813 | 2016-07-12 |
| 1629437165 | Shameik Brooks | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2016-02-11 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33064 |
Please comment or provide details below to improve the information on COSTCO.
| 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.