COSTCO WHOLESALE CORPORATION (NPI# 1609986249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609986249 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
1300 Edwards Ferry Rd Ne Leesburg VA 20176 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 7036691146 |
| Practice Fax Number | 7036691143 |
| 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 |
0201003989 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4838201 | 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 |
| Virginia Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, Washington 98027 |
| Street Address |
1300 EDWARDS FERRY RD NE |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423898 | Haley Mai-tram Luu | Pharmacy Technician | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2020-09-25 |
| 1073138210 | Nhat Minh Bui | Pharmacist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2020-06-13 |
| 1780204412 | Van So Do | Pharmacist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2020-04-22 |
| 1508252016 | Costco Wholesale Corporation | Hearing Aid Equipment | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2015-04-10 |
| 1548654874 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2015-03-25 |
| 1932447240 | Janelle Lea Junk | Pharmacist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2013-01-21 |
| 1992042873 | Curtis Craig Shinaberry | Pharmacist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2013-01-11 |
| 1376818021 | Michelle Marks Thompson | Pharmacist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2012-03-14 |
| 1508144403 | Kathy L. Bowen, Od LLC | Optometrist | 1300 Edwards Ferry Rd Ne, Leesburg, VA 20176-3355 | 2011-07-26 |
| 1841439460 | Christopher A Loving | Pharmacist | 1300 Edwards Ferry Rd Ne, Costco Pharmacy, Leesburg, VA 20176-3355 | 2009-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| 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 |
|---|---|---|---|---|
| 1376965566 | Silver Lake Pharmacy, LLC. | Pharmacy | 32729 Radio Rd, Leesburg, FL 34788-3900 | 2014-01-08 |
| 1124370796 | Freds Stores of Tennessee Inc | Pharmacy | 118 Robert B Lee Drive, Leesburg, GA 31763 | 2012-10-08 |
| 1417032947 | Harris Teeter, LLC | Pharmacy | 19350 Winmeade Dr, Leesburg, VA 20176 | 2006-10-25 |
| 1487758462 | Holiday Cvs LLC | Pharmacy | 1235 N 14th St, Leesburg, FL 34748-3822 | 2006-09-12 |
| 1780602862 | Leesburg Pharmacy Inc | Pharmacy | 36 Catoctin Cir Se, Suite C, Leesburg, VA 20175-3630 | 2006-07-17 |
| 1013555143 | Gdt LLC | Pharmacy | 19500 Sandridge Way Ste 140, Leesburg, VA 20176-3689 | 2019-12-19 |
| 1962719211 | Damol Inc | Pharmacy | 620 S Lake St, Suite4, Leesburg, FL 34748-6059 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
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.