COSTCO WHOLESALE CORPORATION (NPI# 1629463807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629463807 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO HEARING AID #784 |
| Practice Address |
5100 28th St Se Grand Rapids MI 49512-2049 |
| Mailing Address |
Po Box 35005 Seattle WA 98124-3405 |
| Practice Telephone | 6162334427 |
| Practice Fax Number | 6162334447 |
| Mailing Telephone | 4253138100 |
| Mailing Fax Number | 4253136922 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |
| Authorized Official Name | CHRISTIAN ANTHIS (DIRECTOR) |
| Authorized Official Telephone | 4254273530 |
| Is Organization Subpart | Y |
| Parent Organization Name | COSTCO WHOLESALE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332S00000X | Hearing Aid Equipment | Suppliers |
| Other Name | Type Code |
|---|---|
| Costco Hearing Aid #784 | 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 |
5100 28TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922118546 | Costco Wholesale Corporation | Pharmacy | 5100 28th St Se, Grand Rapids, MI 49512 | 2006-08-30 |
| 1649756594 | Mohamed Taher Abbas | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2018-07-13 |
| 1124577275 | Navjit Kaur | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2016-09-30 |
| 1932658515 | Eric Liu | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2016-09-24 |
| 1386027241 | Emily Renae Gillette | Optometrist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2015-07-09 |
| 1417348541 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2015-02-11 |
| 1205237138 | Costco Warehouse | Clinic/Center | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2014-09-10 |
| 1053651646 | Amy Slywka | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2013-02-19 |
| 1700169620 | Stephanie Hamstra | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2011-09-27 |
| 1336422559 | Julie Morales | Pharmacist | 5100 28th St Se, Grand Rapids, MI 49512-2049 | 2011-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 332S00000X |
| Grouping | Suppliers |
| Classification | Hearing Aid Equipment |
| The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154470334 | Great Lakes Hearing | Hearing Aid Equipment | 6272 28th St Se, Grand Rapids, MI 49546-6902 | 2007-01-09 |
| 1700053568 | Hageman Audiology & Hearing Aids LLC | Hearing Aid Equipment | 2505 East Paris Ave Se, Suite 170, Grand Rapids, MI 49546-2422 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235629262 | Northland Hearing Center Inc | Hearing Aid Equipment | 600 W Michigan Ave, Saline, MI 48176-7600 | 2018-05-15 |
| 1942663125 | Oswald Hearing Aid Services LLC | Hearing Aid Equipment | 398 S Main St, Ste 1a, Freeland, MI 48623-8899 | 2016-04-04 |
| 1942667316 | Professional Hearing Inc | Hearing Aid Equipment | 1235 S Center Rd Ste 7, Burton, MI 48509-1700 | 2016-01-15 |
| 1598133456 | Suburban Hearing Clinic, Inc. | Hearing Aid Equipment | 20 W Clarkston Rd, Lake Orion, MI 48362-2972 | 2015-09-09 |
| 1699173187 | St Clair Shores Hearing Center | Hearing Aid Equipment | 30128 Harper Ave, Ste 1a, Saint Clair Shores, MI 48082-1662 | 2014-12-15 |
| 1891191813 | Waterford Hearing Center, LLC | Hearing Aid Equipment | 5907 Dixie Hwy, Clarkston, MI 48346-3361 | 2014-11-18 |
| 1609272624 | Dearborn Hearing Center, LLC. | Hearing Aid Equipment | 5003 Schaefer Rd, Dearborn, MI 48126-3252 | 2014-11-18 |
| 1154723211 | Premier Solutions, Inc. | Hearing Aid Equipment | 21477 21 Mile Rd, Macomb, MI 48044-2963 | 2014-09-20 |
| 1972905032 | Premier Solutions, Inc. | Hearing Aid Equipment | 35736 Van Dyke Ave, Sterling Heights, MI 48312-3564 | 2014-09-20 |
| 1114345428 | Regents of The University of Michigan | Hearing Aid Equipment | 475 Marketplace, Ann Arbor, MI 48108 | 2014-04-03 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
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.