COSTCO WHOLESALE CORPORATION (NPI# 1376653980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376653980 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY # 312 |
| Practice Address |
1718 Boston Post Rd Milford CT 06460-2718 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 2037013051 |
| Practice Fax Number | 2037013062 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | MICHAEL MASTROMONICA (AVP PHARMACY) |
| 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 |
1468 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0714786 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY # 312 | 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 |
1718 BOSTON POST RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173110 | Michael Vardhami | Pharmacist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2020-04-23 |
| 1083009062 | Costco Wholesale Corporation | Hearing Aid Equipment | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2015-04-06 |
| 1356735559 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2015-03-25 |
| 1467794495 | Ana Marie Gomes, O.d., LLC | Optometrist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2013-03-15 |
| 1104102144 | Konstantinos Melanidis | Pharmacist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2011-10-21 |
| 1801179833 | Elizabeth Paladino | Pharmacist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2011-09-26 |
| 1801179171 | Gayl Lund | Pharmacist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2011-09-23 |
| 1912122268 | Ana Marie Gomes | Optometrist | 1718 Boston Post Rd, Milford, CT 06460-2718 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1992275259 | Rodeanpharma LLC | Pharmacy | 105 E Main St Unit A, Milford, MA 01757-2709 | 2018-11-29 |
| 1962984062 | Ekantik LLC | Pharmacy | 692 N Dupont Blvd # 692, Milford, DE 19963-1002 | 2018-09-05 |
| 1578695623 | Holland Center Rx LLC | Pharmacy | 621 Milford Warren Glen Rd, Milford, NJ 08848-1631 | 2007-03-12 |
| 1982731766 | Pillbox Pharmacies, Inc. | Pharmacy | 108 S. Main St., Milford, IN 46580 | 2007-02-27 |
| 1881735975 | Jeanne Laurette Vanhoveln | Pharmacy | 105 E Jones St, Milford, IL 60953-1047 | 2007-02-09 |
| 1386729671 | Milford Pharmacy Inc | Pharmacy | 112 Ne Front St, Milford, DE 19963-1430 | 2006-10-26 |
| 1609969971 | Omshree Corporation | Pharmacy | 10 Se Front St, Milford, DE 19963-1942 | 2006-10-01 |
| 1023117488 | Cvs Pharmacy Inc | Pharmacy | 50 Medway Rd, Milford, MA 01757-2918 | 2006-09-22 |
| 1225140148 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 720 General Motors Rd, Milford, MI 48381-2220 | 2006-08-31 |
| 1154439529 | Milford Pharmacy LLC | Pharmacy | 1191 N Milford Rd, Milford, MI 48381-1050 | 2006-08-27 |
| Find all providers in MILFORD | ||||
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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.