COSTCO WHOLESALE CORP (NPI# 1205920550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205920550 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORP |
| Other Organization Name | COSTCO PHARMACY |
| Practice Address |
16616 Twin Lakes Ave Marysville WA 98271-4701 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 3606524539 |
| Practice Fax Number | 3606524536 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-09-02 |
| 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 |
58741 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2108675 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY | Doing Business As Name - Organization |
| 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 |
| 1124149604 | Costco Wholesale Corp | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913 | 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 |
| 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 |
16616 TWIN LAKES AVE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366802571 | Grace Cortes-stefanovic, Od Pllc | Optometrist | 16616 Twin Lakes Ave, Marysville, WA 98271-4701 | 2016-03-01 |
| 1508250390 | Costco Wholesale Corporation | Hearing Aid Equipment | 16616 Twin Lakes Ave, Marysville, WA 98271-4701 | 2015-03-19 |
| 1497145999 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 16616 Twin Lakes Ave, Marysville, WA 98271-4701 | 2015-02-04 |
| 1831492347 | Mark A Loesell | Pharmacist | 16616 Twin Lakes Ave, Marysville, WA 98271-4701 | 2010-12-06 |
| 1902109408 | Jennifer Lynn Heilman | Pharmacist | 16616 Twin Lakes Ave, Marysville, WA 98271-4701 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| 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 |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1720200330 | Walgreen Co. | Pharmacy | 14210 Scottslawn Road, Marysville, OH 43041 | 2007-05-03 |
| 1578578811 | Walgreen Co | Pharmacy | 602 10th St, Marysville, CA 95901-5104 | 2006-07-29 |
| 1407474844 | Cardinal Health 133, Inc. | Pharmacy | 411 W 5th St, Marysville, OH 43040-1019 | 2020-07-13 |
| 1891277257 | Anjelica Erica Scheck | Pharmacy | 16818 Twin Lakes Ave, Marysville, WA 98271 | 2018-09-02 |
| 1568798338 | Peach Tree Pharmacy Inc | Pharmacy | 5730 Packard Ave, Suite 620, Marysville, CA 95901-7118 | 2009-10-28 |
| 1225061567 | Haggen, Inc | Pharmacy | 3711 88th St Ne, Marysville, WA 98270-7214 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
| 1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
| 1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
| 1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
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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.