COSTCO WHOLESALE CORPORATION


Address: 125 E South Airport Rd, Traverse City, MI 49686
Phone: 2312527010

COSTCO WHOLESALE CORPORATION (NPI# 1154840346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154840346
Entity Type Organization
Organization Name COSTCO WHOLESALE CORPORATION
Other Organization Name COSTCO PHARMACY #1279
Practice Address 125 E South Airport Rd
Traverse City
MI 49686
Mailing Address Po Box 34300
Seattle
WA 98124-1300
Practice Telephone 2312527010
Practice Fax Number 2312527001
Mailing Telephone 2312527000
Mailing Fax Number 2312527011
Enumeration Date 2017-09-19
Last Update Date 2018-07-23
Authorized Official Name VICTOR CURTIS (SVP PHARMACY)
Authorized Official Telephone 4253137206
Is Organization Subpart Y
Parent Organization Name COSTCO WHOLESALE CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
MI Suppliers

Other Provider/Organization Names

Other Name Type Code
Costco Pharmacy #1279 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 125 E SOUTH AIRPORT RD
City TRAVERSE CITY
State MI
Zip Code 49686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366796302 Keith Patterson Jr. Pharmacist 125 E South Airport Rd, Pharmacy, Traverse City, MI 49686 2012-10-30
1225547490 Costco Wholesale Corportation Hearing Aid Equipment 125 E South Airport Rd, Traverse City, MI 49686-4864 2017-09-20
1497264667 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 125 E South Airport Rd, Traverse City, MI 49686 2017-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
Find all providers in zip 49686

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386992204 Woodward Detroit Cvs LLC Pharmacy 626 West Front St, Traverse City, MI 49684-2210 2012-08-27
1932209269 Prevos Family Markets, Inc Pharmacy 4122 Us31 South, Traverse City, MI 49684-9228 2006-09-25
1477504827 Thompson Pharmacy Inc Pharmacy 1100 Hammond Rd E, Traverse City, MI 49686-9369 2006-05-12
1629520150 Cfcc Specialty Pharmacy LLC Pharmacy 217 S Madison St, Suite 1021 A and B, Traverse City, MI 49684-2321 2016-11-01
1689897779 Munson Medical Center Pharmacy 1105 6th St, Traverse City, MI 49684-2345 2007-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477389 Rose Rex LLC Pharmacy 2330 S Milford Rd Ste 114, Highland, MI 48357-4982 2020-11-08
1508466194 Grand Gratiot Pharmacy, LLC Pharmacy 7011 Gratiot Ave Ste 100, Detroit, MI 48207-1973 2020-10-31
1104424530 Advance Care Rx, LLC Pharmacy 500 N Cass St, Berrien Springs, MI 49103-1069 2020-10-16
1023616554 Henry Ford Health System Pharmacy 2800 W Grand Blvd, Detroit, MI 48208 2020-10-16
1881292001 Healthwatch Pharmacy Inc Pharmacy 1375 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1421 2020-10-09
1225645781 Good Choice Pharmacy LLC Pharmacy 6750 E 10 Mile Rd, Center Line, MI 48015-1166 2020-09-29
1487269122 Canfield Pharmacy LLC Pharmacy 4673 Conner St, Detroit, MI 48215-2028 2020-09-10
1851905707 Skidway Pharmacy LLC Pharmacy 1830 Greenwood Rd, Prescott, MI 48756-8627 2020-09-08
1023621190 Azam Mohsen Mesleh Pharmacy 6811 Theisen St, Dearborn, MI 48126-1927 2020-08-28
1821606310 S&k Pharmacy Inc. Pharmacy 1916 Davison Rd, Flint, MI 48506-4423 2020-07-21
Find all providers with the same taxonomy

Competitor

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City TRAVERSE CITY
Zip Code 49686

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Dataset Information

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.

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