COSTCO WHOLESALE CORPORATION (NPI# 1205946811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205946811 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
1800 Cavitt Dr Folsom CA 95630 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 9168501005 |
| Practice Fax Number | 9168501023 |
| 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 |
PHY46328 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0591570 | 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 |
1800 CAVITT DR |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399348 | Cynthia Lee Hardy | Pharmacist | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2016-11-26 |
| 1053854372 | Costco Wholesale | Pharmacy | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2016-11-18 |
| 1558812040 | Cameron Chhour Van | Pharmacist | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2016-10-19 |
| 1710370986 | Costco Wholesale Corporation | Hearing Aid Equipment | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2015-03-12 |
| 1962892554 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2015-02-03 |
| 1265840102 | Han Nguyen | Optometrist | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2014-07-23 |
| 1790069250 | Kiem Bui | Pharmacist | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2011-10-03 |
| 1053617449 | David Do | Pharmacist | 1800 Cavitt Dr, Folsom, CA 95630-6235 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| 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 |
|---|---|---|---|---|
| 1861736274 | Folsom Family Pharmacy, Inc. | Pharmacy | 82150 Highway 25, Folsom, LA 70437 | 2012-11-26 |
| 1124183256 | Folsom Pharmacy, Inc | Pharmacy | 82150 Hwy 25, Folsom, LA 70437 | 2006-12-27 |
| 1043314834 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 1937 Macdade Blvd, Folsom, PA 19033-1214 | 2006-09-12 |
| 1942302336 | Raleys | Pharmacy | 25025 Blue Ravine Rd, Folsom, CA 95630-5258 | 2006-09-05 |
| 1275643934 | Bel Air Market Inc | Pharmacy | 2760 East Bidwell, Folsom, CA 95630-6414 | 2006-08-30 |
| 1740224187 | Longs Drug Stores California LLC | Pharmacy | 9479 Madison Ave, Folsom, CA 95630-2092 | 2006-06-16 |
| 1649782541 | Vitality Rx | Pharmacy | 210 Blue Ravine Rd Ste 170, Folsom, CA 95630-4796 | 2017-11-01 |
| 1487101663 | Folsom Pharmacy, Inc | Pharmacy | 82150 Hwy 25, Folsom, LA 70437 | 2016-09-06 |
| 1235273319 | Save Mart Supermarkets | Pharmacy | 1003 E Bidwell St, Folsom, CA 95630-5548 | 2007-02-20 |
| 1356498687 | Kaiser Foundation Health Plan Inc | Pharmacy | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2007-01-05 |
| Find all providers in FOLSOM | ||||
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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.