COSTCO WHOLESALE CORPORATION (NPI# 1912017534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912017534 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
19040 E Valley View Pkwy Independence MO 64055 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 8162002002 |
| Practice Fax Number | 8162002021 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-23 |
| 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 |
2001026667 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2634120 | 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 |
| Street Address |
19040 E VALLEY VIEW PKWY |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750834305 | Tyler Richard Arens | Optometrist | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2016-08-01 |
| 1902256472 | Patrick Ridder I | Pharmacist | 19040 E Valley View Pkwy, Independence, MO 64055 | 2016-06-15 |
| 1245686278 | Laura Lewis | Pharmacist | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2016-05-09 |
| 1467847335 | Costco Wholesale Corporation | Hearing Aid Equipment | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2015-03-30 |
| 1033500012 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2015-02-11 |
| 1578827317 | Catherine Marie Farley | Pharmacist | 19040 E Valley View Pkwy, Costco Pharmacy #373, Independence, MO 64055-7004 | 2012-06-26 |
| 1649545971 | Vickie Lynn Abbott | Pharmacist | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2012-03-20 |
| 1477828168 | James Harry Williams Jr. | Pharmacist | 19040 E Valley View Pkwy, Independence, MO 64055-7004 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1750567624 | Lowe Drug Company | Pharmacy | 19950 East 39th Street South, Suite 120, Independence, MO 64057 | 2008-01-10 |
| 1700077831 | Walgreen Co. | Pharmacy | 2005 Centennial Blvd, Independence, KY 41051-7041 | 2007-08-05 |
| 1124176888 | Cherokee Drug Shoppe | Pharmacy | 6439 Taylor Mill Rd, Independence, KY 41051-9343 | 2007-01-08 |
| 1912070525 | Nies Pharmacy Inc | Pharmacy | 11745 Madison Pike, Independence, KY 41051-8637 | 2006-11-15 |
| 1588754725 | 50-plus Pharmacy Inc. | Pharmacy | 211 W Lexington Ave, Independence, MO 64050-3709 | 2006-10-16 |
| 1114027554 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1545 E 23rd St S, Independence, MO 64055-1670 | 2006-09-25 |
| 1942309257 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 11115 E Us Highway 24, Independence, MO 64054-1567 | 2006-09-22 |
| 1699872267 | Hartig Drug Co Corp | Pharmacy | 200 1st St E, Independence, IA 50644-2813 | 2006-09-17 |
| 1821191651 | Ohio Cvs Stores LLC | Pharmacy | 6527 Brecksville Rd, Independence, OH 44131-4897 | 2006-09-07 |
| 1063429009 | Walgreen Co | Pharmacy | 6900 Rockside Rd, Independence, OH 44131-2324 | 2006-08-02 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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.