COSTCO WHOLESALE CORPORATION (NPI# 1235249830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235249830 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
11260 White Rock Rd Rancho Cordova CA 95742 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 9166353162 |
| Practice Fax Number | 9166350824 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| 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 |
PHY41978 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0547868 | 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 |
| Street Address |
11260 WHITE ROCK RD |
| City | RANCHO CORDOVA |
| State | CA |
| Zip Code | 95742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386037661 | Costco Wholesale Corporation | Hearing Aid Equipment | 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 | 2015-03-11 |
| 1548650112 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 | 2015-02-03 |
| 1457778201 | Linda Ngoc Le | Pharmacist | 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 | 2014-03-18 |
| 1679871008 | Rodney Mikami | Pharmacist | 11260 White Rock Rd, Rancho Cordova, CA 95742-6571 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629597265 | Christopher Michael Colbert Sr. | Counselor | 2025 Aerojet, Rancho Cordova, CA 95742 | 2017-09-14 |
| 1588185516 | Bautista Dental Corporation | Dentist | 4022 Sunrise Blvd,., Ste 160, Rancho Cordova, CA 95742 | 2017-06-29 |
| 1770011561 | Fatmeh A Jobay | Nurse Practitioner | 4040 Sunrise Blvd Ste 130, Rancho Cordova, CA 95742 | 2017-05-24 |
| 1881966273 | Trevor Nabholz | Chiropractor | 2708 Mercantile Dr., Rancho Cordova, CA 95742 | 2012-02-01 |
| 1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
| 1356538920 | Shannon Fistner | Counselor | 2025 Aerojet Rd, Rancho Cordova, CA 95742 | 2007-09-27 |
| 1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
| 1255617882 | Ani M Verrios | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-27 |
| 1124302088 | Daniela Sam | Pharmacist | 4050 Sunrise Blvd, Rancho Cordova, CA 95742 | 2011-10-10 |
| 1275805277 | Sacramento Medical Group | General Practice | 2708 Mercantile Dr., Rancho Cordova, CA 95742-0959 | 2012-02-07 |
| Find all providers in zip 95742 | ||||
| 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 |
|---|---|---|---|---|
| 1629188511 | Raleys | Pharmacy | 10385 Folsom Blvd., Rancho Cordova, CA 95670-3518 | 2006-08-30 |
| 1669881835 | Tri Star Holding Pharmacy Inc | Pharmacy | 1995 Zinfandel Dr, Suite 101, Rancho Cordova, CA 95670-2862 | 2014-08-12 |
| 1295882520 | Kaiser Foundation Health Plan Inc | Pharmacy | 10725 International Dr, Rancho Cordova, CA 95670-7967 | 2007-01-05 |
| 1861438962 | Obryan Company Inc | Pharmacy | 1995 Zinfandel Dr, Ste 101, Rancho Cordova, CA 95670-2862 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1023618824 | Ingram's Pharmacy, LLC | Pharmacy | 1115 Union Ave Unit 147-1c, Bakersfield, CA 93307-1050 | 2020-10-29 |
| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | RANCHO CORDOVA |
| Zip Code | 95742 |
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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.