COSTCO WHOLESALE CORPORATION (NPI# 1073623625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073623625 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
5101 Business Center Dr Fairfield CA 94534 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 7076394106 |
| Practice Fax Number | 7076394112 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46805 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2112854 | 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 |
5101 BUSINESS CENTER DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811554314 | Costco Wholesale Corporation | Hearing Aid Equipment | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2019-05-21 |
| 1992195564 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2015-02-03 |
| 1609196609 | Norman Wong Lee | Pharmacist | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2010-06-02 |
| 1467501247 | Linda Thuy Nguyen | Optometrist | 5101 Business Center Dr, Fairfield, CA 94534-1624 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| 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 |
|---|---|---|---|---|
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 1215084561 | Payless Drugs, Inc. | Pharmacy | 4901 Gary Ave, Fairfield, AL 35064-1348 | 2007-01-05 |
| 1295830040 | Connecticut Cvs Pharmacy LLC | Pharmacy | 1968 Black Rock Tpke, Fairway Plaza, Fairfield, CT 06825-3543 | 2006-09-14 |
| 1255434957 | Ohio Cvs Stores LLC | Pharmacy | 590 Nilles Rd, Fairfield, OH 45014-2606 | 2006-09-07 |
| 1033229794 | Raleys | Pharmacy | 3001 Travis Blvd., Fairfield, CA 94534-3442 | 2006-08-30 |
| 1184636359 | Coram Alternate Site Services, Inc. | Pharmacy | 4305 Mulhauser Rd, Suite 1, Fairfield, OH 45014-2263 | 2006-08-13 |
| 1639191232 | Garfield Beach Cvs LLC | Pharmacy | 2059 Cadenasso Dr, Fairfield, CA 94533-6806 | 2006-07-24 |
| 1235172024 | Longs Drug Stores California LLC | Pharmacy | 300 Travis Blvd, Fairfield, CA 94533-3804 | 2006-06-13 |
| 1154941870 | Summit Pharmacy of Iowa, Inc | Pharmacy | 300 W Burlington Ave, Fairfield, IA 52556-3241 | 2020-04-22 |
| 1720617509 | Melissa Adrian | Pharmacy | 1300 W Burlington Ave, Fairfield, IA 52556-2766 | 2020-04-03 |
| Find all providers in FAIRFIELD | ||||
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| 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.