COSTCO WHOLESALE CORPORATION (NPI# 1871603407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871603407 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY |
| Practice Address |
1085 Hanes Mall Blvd Winston Salem NC 27103-1310 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 3369702302 |
| Practice Fax Number | 3369702321 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | MICHAEL MASTROMONICA (AVP PHARMACY) |
| Authorized Official Telephone | 4253132892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7833 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2068902 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY | 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 |
| Virginia Business Entities | COSTCO WHOLESALE CORPORATION | 999 Lake Drive, Issaquah, Washington 98027 |
| Street Address |
1085 HANES MALL BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376937425 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1085 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2015-03-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1972958361 | Nuestra Farmacia | Pharmacy | 516 Waughtown Street, Winston Salem, NC 27107-6835 | 2016-05-04 |
| 1235400128 | Robinhood Family Pharmacy LLC | Pharmacy | 3443 Robinhood Rd, Ste S, Winston Salem, NC 27106-4760 | 2012-01-24 |
| 1407188451 | Jai Siddhi Vinayak Inc. | Pharmacy | 1489 New Walkertown Rd, Winston Salem, NC 27101-3319 | 2010-02-02 |
| 1659512879 | Stanleyville Family Pharmacy Inc | Pharmacy | 475 Summit Square Blvd, Winston Salem, NC 27105-1485 | 2009-03-18 |
| 1962688598 | Walgreen Co. | Pharmacy | 1327 Meadowlark Dr, Winston Salem, NC 27106-9817 | 2008-01-14 |
| 1518042613 | Andrews Pharmacy, Inc. | Pharmacy | 1305 S Hawthorne Rd, Winston Salem, NC 27103-4121 | 2006-10-26 |
| 1124121975 | North Carolina Cvs Pharmacy LLC | Pharmacy | 3325 Robinhood Rd, Winston Salem, NC 27106-5403 | 2006-09-07 |
| 1669575007 | North Carolina Cvs Pharmacy LLC | Pharmacy | 855 Hanes Mall Blvd, Winston Salem, NC 27103-5526 | 2006-09-07 |
| 1578666269 | North Carolina Cvs Pharmacy LLC | Pharmacy | 5001 Country Club Rd, Winston Salem, NC 27104-4513 | 2006-09-07 |
| 1013924018 | Walgreen Co | Pharmacy | 3634 Reynolda Rd, Winston Salem, NC 27106-2230 | 2006-08-02 |
| 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.