COSTCO WHOLESALE CORPORATION (NPI# 1891805412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891805412 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY # 320 |
| Practice Address |
1055 Hudson St Union NJ 07083-6809 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 9088101782 |
| Practice Fax Number | 9088101847 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-19 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28RS00567300 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3140554 | 01 | |
| NJ | 7941005 | 05 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY # 320 | 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 |
1055 HUDSON ST |
| City | UNION |
| State | NJ |
| Zip Code | 07083-6809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942696943 | Costco Wholesale Corporation | Hearing Aid Equipment | 1055 Hudson St, Union, NJ 07083-6809 | 2015-04-07 |
| 1699169805 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1055 Hudson St, Union, NJ 07083-6809 | 2015-03-25 |
| 1992070817 | Shelley Chi | Pharmacist | 1055 Hudson St, Union, NJ 07083-6809 | 2012-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| 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 |
|---|---|---|---|---|
| 1386016525 | Jethakaushkamal Inc | Pharmacy | 1024 Stuyvesant Ave, Union, NJ 07083 | 2015-10-28 |
| 1720110448 | Perkins Union Center Pharmacy | Pharmacy | 1023 Stuyvesant Ave, Union, NJ 07083 | 2007-03-09 |
| 1952451288 | Restoration Pharmacy LLC | Pharmacy | 2153 Tyler Street, 1385 Stuyvesant St, Union, NJ 07083 | 2007-01-11 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1811070154 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2287 Morris Ave, Union, NJ 07083-5701 | 2006-10-23 |
| 1528150257 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1011 Morris Ave, Union, NJ 07083-7120 | 2006-09-29 |
| 1497858260 | South Carolina Cvs Pharmacy LLC | Pharmacy | 599 Rice Ave, Union, SC 29379-1840 | 2006-09-07 |
| 1386677490 | Walgreen Co | Pharmacy | 807 Us Highway 50 E, Union, MO 63084-2248 | 2006-07-09 |
| 1942246434 | Palmetto Drugs Incorporated | Pharmacy | 105 Lakeside Dr, Union, SC 29379-1927 | 2006-06-21 |
| 1821054891 | Rinderer's Union Drug #6 | Pharmacy | 500 Highway 50 W, Union, MO 63084-1938 | 2006-04-26 |
| Find all providers in UNION | ||||
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.