COSTCO (NPI# 1366827933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366827933 |
| Entity Type | Organization |
| Organization Name | COSTCO |
| Practice Address |
10 Monocacy Blvd Frederick MD 21704-7256 |
| Practice Telephone | 3016441482 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | BETTY MAI (PHARMACIST) |
| Authorized Official Telephone | 3016441482 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
22474 | MD | Ambulatory Health Care Facilities |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1801225636 | Costco | Pharmacist | 19193 Pintail Ct, Purcellville, VA 20132-3957 | 2013-11-02 |
| 1699220210 | Costco | Pharmacist | 1445 R St, Merced, CA 95340-5850 | 2016-08-24 |
| 1558714477 | Costco | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2016-07-15 |
| 1134500838 | Costco | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-06-18 |
| 1457758195 | Costco | Pharmacy | 50 Overlook Blvd, Nanuet, NY 10954-5290 | 2014-11-24 |
| 1538566401 | Costco | Pharmacy | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2014-11-20 |
| 1164826772 | Costco | Clinic/Center | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2014-10-11 |
| 1437552353 | Costco | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2014-10-06 |
| 1043635709 | Costco | Public Health or Welfare | 1021 Woodruff Rd, Greenville, SC 29607-4108 | 2014-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COSTCO ATLANTA CIGARETTES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Massachusetts Corporations | COSTCO ATLANTIC LIQUORS, INC. | 120 Stockwell Dr., Avon, MA 02322 |
| New York State Corporations | COSTCO ATLANTIC LIQUORS, INC. | 28 Liberty St., New York, Ny 10005 |
| Washington State Corporations | COSTCO BEVERAGES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Washington State Corporations | COSTCO COMPANIES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Oregon Corporations, Companies and Business Names | COSTCO DEALS | 2474 Nw 113th Ave, Portland, OR 97229 |
| Colorado Business Entities | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Oregon Corporations, Companies and Business Names | COSTCO GASOLINE | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO HEALTH SOLUTIONS, INC. | 999 Lake Dr, Isaaquah, WA 98027 |
| Street Address |
10 MONOCACY BLVD |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306956925 | Costco Wholesale Corporation | Pharmacy | 10 Monocacy Blvd, Frederick, MD 21704 | 2006-08-30 |
| 1427657295 | Evelyn Umana | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2020-10-22 |
| 1811559388 | Hatrick Ventures Inc. | Optometrist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2019-07-03 |
| 1043876097 | Betty Mai | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2019-05-15 |
| 1487122313 | Syria Wesley | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2018-11-08 |
| 1245624519 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2015-03-25 |
| 1861751836 | Mien Meisie Roberts | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2012-05-11 |
| 1366701559 | Lynn Hatrick | Optometrist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2012-05-09 |
| 1396011177 | Norman Ralph Yockelson | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2012-03-27 |
| 1083981542 | Aaron Junk | Pharmacist | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2011-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697436 | Maxcare Pharmacy | Pharmacist | 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 | 2020-07-28 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1639703523 | Mary Katherine Emadi | Pharmacist | 1320 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-02-28 |
| 1245878875 | Crowns Pharmacy LLC | Pharmacist | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2019-12-13 |
| 1932750536 | Oluwadamilola Ademiluyi | Pharmacist | 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 | 2019-09-25 |
| 1093361008 | Mark Adjetey | Pharmacist | 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 | 2019-08-15 |
| 1841760048 | Roudabeh Faghri | Pharmacist | 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 | 2018-11-29 |
| 1003384678 | Prime Clinical Associates, LLC | Pharmacist | 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 | 2018-11-12 |
| 1922594837 | Adebayo Ajifolokun | Pharmacist | 2307 Clerklee Way, Bowie, MD 20721-1866 | 2018-07-03 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
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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.