COSTCO WHOLESALE CORP (NPI# 1124149604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124149604 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORP |
| Practice Address |
10088 Gulf Center Dr Fort Myers FL 33913 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 2394337249 |
| Practice Fax Number | 2394337246 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2018-07-24 |
| 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 |
PH22628 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1025003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
| 1518167493 | Costco Wholesale Corp | Pharmacy | 1021 Woodruff Rd, Greenville, SC 29607 | 2007-07-19 |
| 1114130002 | Costco Wholesale Corp | Pharmacy | 2700 Park Ave, Tustin, CA 92782-2708 | 2007-05-07 |
| 1669593042 | Costco Wholesale Corp | Pharmacy | 11001 Southern Blvd, Royal Palm Beach, FL 33411 | 2007-04-03 |
| 1326179250 | Costco Wholesale Corp | Pharmacy | 501 Waterfront Dr W, West Homestead, PA 15120 | 2007-03-09 |
| 1942343421 | Costco Wholesale Corp | Pharmacy | 16375 Washington St, Thornton, CO 80023 | 2007-02-15 |
| 1245399617 | Costco Wholesale Corp | Pharmacy | 4300 Nuhou St, Lihue, HI 96766 | 2006-12-08 |
| 1679667927 | Costco Wholesale Corp | Pharmacy | 11330 Fountains Dr, Maple Grove, MN 55369 | 2006-10-03 |
| 1942394291 | Costco Wholesale Corp | Pharmacy | 170 Cooley Mesa Rd, Gypsum, CO 81637 | 2006-10-03 |
| 1366536765 | Costco Wholesale Corp | Pharmacy | 2838 Wake Forest Rd, Raleigh, NC 27609 | 2006-10-03 |
| 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 |
10088 GULF CENTER DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598133449 | Costco Wholesale Corporation | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-09-09 |
| 1285002329 | Brittany Rawlins | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-09-07 |
| 1417343500 | Costco Wholesale Corporation | Hearing Aid Equipment | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-04-15 |
| 1104211838 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2015-03-31 |
| 1982970273 | Alexander Herwig | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2012-03-30 |
| 1033485008 | Denishkumar Pranlal Kalavadia | Pharmacist | 10088 Gulf Center Dr, Fort Myers, FL 33913-8961 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079368 | Fq0014 | Clinic/Center | 11930 Fairway Lakes Dr, Ste 103, Fort Myers, FL 33913 | 2020-06-26 |
| 1386272334 | Chrysallis Wellness Center Inc | Counselor | 11932 Faiway Lakes, Fort Myers, FL 33913 | 2020-03-27 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1043784432 | Alex Richard Reynolds | Physician Assistant | 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 | 2019-01-18 |
| 1881196541 | Kara Seanor | Counselor | 12575 Stone Tower Loop, Fort Myers, FL 33913 | 2018-03-08 |
| 1063951515 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 13121 Paul J. Doherty Pkwy, Fort Myers, FL 33913 | 2017-02-16 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1811322886 | Bernard Timothy Renner | Pharmacist | 10000 Gulf Coast Town Center Drive, Ft. Myers, FL 33913 | 2013-09-10 |
| 1831531979 | Debra Anne Channer | Pharmacist | 12550 Professional Park Drive Unit 1, Walgreens Co., Ft. Myers, FL 33913 | 2013-07-17 |
| 1144572249 | Victoria Sydeco Tayengco-maisog | Pediatrics | 9304 Trieste Drive, Fort Myers, FL 33913 | 2012-10-12 |
| Find all providers in zip 33913 | ||||
| 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 |
|---|---|---|---|---|
| 1487276663 | Total Healthcare Alliance | Pharmacy | 3510 Dr Martin Luther King Blvd Ste 1, Fort Myers, FL 33916-4608 | 2020-05-11 |
| 1245797554 | Gateway Drugs Pllc | Pharmacy | 12401 Commerce Lakes Dr Ste 3, Fort Myers, FL 33913-8663 | 2019-02-22 |
| 1649775693 | Aon Pharmacy, LLC | Pharmacy | 14543 Global Pkwy Ste 110, Fort Myers, FL 33913-9446 | 2018-03-29 |
| 1972973055 | Family Pharmacy & Medical Supply | Pharmacy | 9861 Bernwood Place Dr Ste 145, Fort Myers, FL 33966-6545 | 2015-10-01 |
| 1730493529 | Knap Inc. | Pharmacy | 3432 Cleveland Ave, Fort Myers, FL 33901-7108 | 2010-08-04 |
| 1801057153 | Holiday Cvs LLC | Pharmacy | 9350 Dynasty Dr, Fort Myers, FL 33905-5574 | 2008-06-19 |
| 1184885436 | Holiday Cvs LLC | Pharmacy | 15880 San Carlos Blvd, Ste 101, Fort Myers, FL 33908-3383 | 2008-06-19 |
| 1003976036 | Bjs Wholesale Club Inc | Pharmacy | 9300 Ben C Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33912 | 2006-12-11 |
| 1194820936 | Holiday Cvs LLC | Pharmacy | 11300 State Road 82, Fort Myers, FL 33905-5400 | 2006-09-14 |
| 1700980687 | Holiday Cvs LLC | Pharmacy | 7581 Winkler Rd, Fort Myers, FL 33908-4124 | 2006-09-12 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33913 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORP.
| 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.