COSTCO WHOLESALE CORPORATION (NPI# 1396855995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396855995 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY |
| Practice Address |
17550 N 79th Ave Glendale AZ 85308-8711 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 6237764002 |
| Practice Fax Number | 6237764021 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-10-26 |
| Authorized Official Name | ROBERT TAKI (AGMM) |
| Authorized Official Telephone | 4253136070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2656 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1989731 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY | 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 |
17550 N 79TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750891172 | Karam Alkakoz | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2017-10-11 |
| 1831582535 | Costco Wholesale Corporation | Hearing Aid Equipment | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2015-03-05 |
| 1487044533 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2015-01-28 |
| 1225389679 | Craig Dennis Yee | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2012-09-25 |
| 1477800191 | Carol Hoang-diem Ahnlund | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2012-08-13 |
| 1275808875 | Richard Alan Gruhl | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2012-03-14 |
| 1497032692 | Wayne Peterson | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2011-11-16 |
| 1215266341 | Chris Cowell | Pharmacist | 17550 N 79th Ave, Glendale, AZ 85308-8711 | 2009-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| 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 |
|---|---|---|---|---|
| 1578179859 | Y&g Pharmacy Inc | Pharmacy | 8017 Myrtle Ave, Glendale, NY 11385-7642 | 2020-09-22 |
| 1144845819 | Arka Rx Inc | Pharmacy | 621 E Glenoaks Blvd Ste C, Glendale, CA 91207-1775 | 2020-06-09 |
| 1356971006 | Myrtle Meds Inc | Pharmacy | 7617 Myrtle Ave, Glendale, NY 11385-7446 | 2020-01-22 |
| 1588201149 | Esmeralda Pharmacy Inc | Pharmacy | 6555 Myrtle Ave, Glendale, NY 11385-7028 | 2019-12-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1558929455 | Central Drugs Inc | Pharmacy | 6715 Central Ave, Glendale, NY 11385-6633 | 2019-06-05 |
| 1578033718 | Hayat Pharmacy 14 | Pharmacy | 2501 W Silver Spring Dr Ste 5, Glendale, WI 53209-4217 | 2018-11-30 |
| 1881184117 | Nairi Hayrapetian | Pharmacy | 2216 Sherwood Pl, Glendale, CA 91206-1138 | 2018-05-11 |
| 1316468432 | Cover Rx Inc | Pharmacy | 1811 W Glenoaks Blvd, Glendale, CA 91201-4376 | 2017-06-28 |
| 1649700832 | First Stop Pharmacy Inc | Pharmacy | 1577 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4740 | 2017-06-19 |
| Find all providers in GLENDALE | ||||
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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.