COSTCO PHARMACY (NPI# 1427428044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427428044 |
| Entity Type | Organization |
| Organization Name | COSTCO PHARMACY |
| Practice Address |
11800 4th St Rancho Cucamonga CA 91730-6129 |
| Practice Telephone | 9095811700 |
| Mailing Telephone | 9095811700 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Authorized Official Name | NATALIA CALEF (PHARMACY MANAGER) |
| Authorized Official Telephone | 9095811700 |
| Authorized Official Credential | PHARM. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 46010 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558728006 | Costco Pharmacy | Pharmacy | 4646 Bronx Blvd, Bronx, NY 10470-1449 | 2016-01-27 |
| 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 |
| 1285984468 | Costco Pharmacy | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2012-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COSTCO PHARMACY | 4849 Ne 138th, Portland, OR 97230 |
| Street Address |
11800 4TH ST |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053421651 | Costco Wholesale Corporation | Pharmacy | 11800 4th St, Rancho Cucamonga, CA 91730 | 2006-08-30 |
| 1003209222 | Costco Wholesale Corporation | Hearing Aid Equipment | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2015-03-12 |
| 1043609506 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2015-01-21 |
| 1053687517 | Lama Syada | Pharmacist | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2012-03-29 |
| 1073896072 | Natalia Calef | Pharmacist | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2011-09-26 |
| 1033276100 | Christopher J Vansuch | Optometrist | 11800 4th St, Rancho Cucamonga, CA 91730-6129 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917338 | Priyanka Rakeshkumar Shah | Pharmacist | 9615 Evening Song Pl, Rancho Cucamonga, CA 91730-5711 | 2020-09-21 |
| 1801434576 | Wasien Arthur Phungkusol | Pharmacist | 7555 Marmande Pl, Rancho Cucamonga, CA 91730-6752 | 2019-12-12 |
| 1891332136 | Ana May Vinluan Tan | Pharmacist | 7950 Etiwanda Ave Apt 8103, Rancho Cucamonga, CA 91739-8710 | 2019-12-05 |
| 1750923595 | Jonathan Chan | Pharmacist | 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 | 2019-10-14 |
| 1164077889 | Nancy M Yani | Pharmacist | 10431 Lemon Ave Suite G, Rancho Cucamonga, CA 91737 | 2019-08-08 |
| 1164088753 | Amy Tran | Pharmacist | 12427 Canal Dr Unit 1, Rancho Cucamonga, CA 91739-7524 | 2019-05-19 |
| 1619531233 | Suby Jacob | Pharmacist | 11438 Kenyon Way, Rancho Cucamonga, CA 91701-9230 | 2019-04-29 |
| 1770082141 | Rajnis Jasani | Pharmacist | 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 | 2018-02-12 |
| 1265948780 | Adeola Philip-aimufia | Pharmacist | 13959 Dove Canyon Way, Rancho Cucamonga, CA 91739-2265 | 2017-12-20 |
| 1396260501 | Sawsan Aljazrawi | Pharmacist | 7452 Bungalow Way, Rancho Cucamonga, CA 91739-8868 | 2017-08-08 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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.