COSTCO WHOLESALE CORPORATION (NPI# 1245623677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245623677 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY #1200 |
| Practice Address |
9700 E. Kellogg Wichita KS 67207 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 3162267152 |
| Practice Fax Number | 3162267143 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | MICHAEL MASTROMONICA (AVP-PHARMACY SERVICES) |
| 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 |
2-13169 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2150780 | 01 |
| Other Name | Type Code |
|---|---|
| Costco Pharmacy #1200 | Doing Business As Name - Organization |
| 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 |
9700 E. KELLOGG |
| City | WICHITA |
| State | KS |
| Zip Code | 67207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700271996 | Costco Wholesale Corporation | Hearing Aid Equipment | 9700 E. Kellogg, Wichita, KS 67207 | 2015-04-03 |
| 1447645635 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9700 E. Kellogg, Wichita, KS 67207 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527518 | Transition Adult Home | Day Training, Developmentally Disabled Services | 7422 E Lincoln St, Wichita, KS 67207 | 2018-05-02 |
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1528468105 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 9415 East Harry Street, Bldg 800, Suite P, Wichita, KS 67207 | 2014-09-02 |
| 1962819110 | Lauren Carrillo | Marriage & Family Therapist | 111 S Whittier St Ste 1500, Wichita, KS 67207 | 2014-07-21 |
| 1962827170 | Providence Home Health & Hospice LLC. | Home Health | 9415 E Harry St Ste 703, Wichita, KS 67207 | 2014-02-25 |
| 1396089892 | Christina Rhinesmith | Speech-Language Pathologist | 12618 E Willowgreen Circle, Wichita, KS 67207 | 2012-11-21 |
| 1528360047 | Compassionate Care Home Health Agency | Home Health | 9152 Funston Ct., Wichita, KS 67207 | 2010-12-04 |
| 1477769503 | Patricia Marie Sloop | Social Worker | 1950 S. Webb Rd., Unit #121, Wichita, KS 67207 | 2007-05-15 |
| 1174738298 | Jarrod S Steffan | Psychologist | 9920 East Harry, Wichita, KS 67207 | 2007-05-11 |
| 1235359266 | Phuonglan Cat Cao | Pharmacist | 1625 S Webb Road, Wichita, KS 67207 | 2007-05-01 |
| Find all providers in zip 67207 | ||||
| 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 |
|---|---|---|---|---|
| 1174132161 | Ascension Via Christi Hospitals Wichita Inc. | Pharmacy | 3600 E Harry St Rm 2001, Wichita, KS 67218-3713 | 2020-07-27 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| 1548737182 | West Wichita Family Pharmacy LLC | Pharmacy | 8200 W Central Ave Ste 5, Wichita, KS 67212-3661 | 2018-11-01 |
| 1629588454 | Neighborhood Pharmacy 0002 LLC | Pharmacy | 328 E Pawnee St, Wichita, KS 67211-4847 | 2017-10-06 |
| 1548711484 | Wal-mart Pharmacy | Pharmacy | 2200 S Rock Rd, Apartment 1014, Wichita, KS 67207-5300 | 2016-10-15 |
| 1184967804 | Davis Family Pharmacy, LLC | Pharmacy | 2131 N Ridge Rd Ste 103, Wichita, KS 67212-1571 | 2013-04-01 |
| 1447578216 | Kwik Shop Inc | Pharmacy | 7107 W 37th St N, Wichita, KS 67205-9360 | 2010-05-04 |
| 1710002811 | Hac Inc | Pharmacy | 1910 W 21st St N, Wichita, KS 67203-2105 | 2007-03-20 |
| 1013072289 | Rcr East, LLC | Pharmacy | 2350 N Greenwich Rd, Suite 1000, Wichita, KS 67226-8269 | 2006-12-27 |
| 1578648119 | Right Choice Pharmacy Plus 104 | Pharmacy | 2110 N Maize Rd, Ste 500, Wichita, KS 67212-5210 | 2006-10-25 |
| Find all providers in WICHITA | ||||
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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.