COSTCO PHARMACY (NPI# 1285984468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285984468 |
| Entity Type | Organization |
| Organization Name | COSTCO PHARMACY |
| Practice Address |
2660 Park Center Dr Simi Valley CA 93065-6207 |
| Practice Telephone | 8055783305 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |
| Authorized Official Name | BARRY MAIZEL (REGIONAL PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 7147417726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 55044 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558728006 | Costco Pharmacy | Pharmacy | 4646 Bronx Blvd, Bronx, NY 10470-1449 | 2016-01-27 |
| 1427428044 | Costco Pharmacy | Pharmacist | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2015-09-25 |
| 1821474503 | Costco Pharmacy | Community/Behavioral Health | 7095 Market Place Dr, Goleta, CA 93117-5905 | 2015-08-05 |
| 1659759603 | Costco Pharmacy | Pharmacy | 7562 Center Ave, Huntington Beach, CA 92647-3002 | 2015-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COSTCO PHARMACY | 4849 Ne 138th, Portland, OR 97230 |
| Street Address |
2660 PARK CENTER DR |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065-6207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891805495 | Costco Wholesale Corporation | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065 | 2006-08-30 |
| 1518336775 | Nella Zadikian | Pharmacist | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-09-17 |
| 1134500838 | Costco | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-06-18 |
| 1215320858 | Costco Wholesale Corporation | Hearing Aid Equipment | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-03-06 |
| 1821487760 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-01-15 |
| 1730437518 | Kevin Wonoto | Pharmacist | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2012-08-27 |
| 1124325832 | Marvin Friedman | Pharmacist | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2011-02-15 |
| 1255652558 | Niloofar Vaghar | Pharmacist | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2010-06-21 |
| 1740343482 | James David Foster | Optometrist | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2006-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841697489 | Trisys Management Group, Inc | Pharmacy | 1464 Madera Rd # N-182, Simi Valley, CA 93065-3077 | 2014-11-25 |
| 1669731576 | Jv Pharmacy & Medical Supply Inc | Pharmacy | 1357 E Los Angeles Ave Ste C, Simi Valley, CA 93065-2805 | 2012-05-11 |
| 1437160066 | Rosebill Pharmacy Corp | Pharmacy | 2519 Royal Ave, Simi Valley, CA 93065-4700 | 2006-08-10 |
| 1669469615 | Deal Enterprises Inc | Pharmacy | 2950 Sycamore Dr, Suite 101, Simi Valley, CA 93065-1232 | 2005-10-04 |
| 1184016420 | Rite Aid Pharmacy Store# 05786 | Pharmacy | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2015-02-24 |
| 1629314109 | Sterling Pharmacy, Inc. | Pharmacy | 2315 Kuehner Dr, Suite 110, Simi Valley, CA 93063-3900 | 2013-01-02 |
| 1811241110 | Rite Aid Pharmacy | Pharmacy | 5845 E Los Angeles Ave, Simi Valley, CA 93063-4256 | 2012-11-08 |
| 1447307764 | Kaiser Foundation Health Plan Inc | Pharmacy | 3900 Alamo St, Simi Valley, CA 93063-2111 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on COSTCO PHARMACY.
| 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.