COSTCO WHOLESALE CORPORATION (NPI# 1487764098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764098 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
14501 Hindry Ave Hawthorne CA 90250 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 3107270402 |
| Practice Fax Number | 3107270409 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | VICTOR CURTIS (SVP PHARMACY) |
| Authorized Official Telephone | 4253137206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY44999 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0593005 | 01 |
| 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 |
14501 HINDRY AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504204 | Krista Wong | Optometrist | 14501 Hindry Ave, Hawthorne, CA 90250 | 2018-07-12 |
| 1568855781 | Costco Wholesale Corporation | Hearing Aid Equipment | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2015-03-12 |
| 1144619602 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2015-01-21 |
| 1114293636 | Lena Yang | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250 | 2012-03-29 |
| 1508131053 | James Gabelich | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2012-03-16 |
| 1477866051 | Michelle Ann Garcia Silsby | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2010-07-23 |
| 1669785952 | Vuvy Hoang Le | Pharmacist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2010-07-15 |
| 1861556177 | Diana Marie Risco | Optometrist | 14501 Hindry Ave, Hawthorne, CA 90250-6748 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1164670519 | Garfield Beach Cvs LLC | Pharmacy | 2700 W 120th St, Hawthorne, CA 90250-3388 | 2008-08-28 |
| 1952586323 | Walgreen Co | Pharmacy | 11983 Hawthorne Blvd, Hawthorne, CA 90250-3015 | 2008-01-04 |
| 1164558797 | Jose R Sardinas | Pharmacy | 11930 Hawthorne Blvd, Hawthorne, CA 90250-3016 | 2007-02-26 |
| 1245339449 | Tonaire Corporation | Pharmacy | 576 Lafayette Avenue, Hawthorne, NJ 07506-2423 | 2006-09-22 |
| 1649378134 | Garfield Beach Cvs LLC | Pharmacy | 4775 W Rosecrans Ave, Hawthorne, CA 90250-6842 | 2006-09-20 |
| 1194829051 | Holiday Cvs LLC | Pharmacy | 6025 Se Us Highway 301, Hawthorne, FL 32640-7316 | 2006-09-12 |
| 1235144247 | Walgreen Co | Pharmacy | 14250 Prairie Ave, Hawthorne, CA 90250-7908 | 2006-07-29 |
| 1306889787 | Garfield Beach Cvs LLC | Pharmacy | 3880 W Rosecrans Ave, Hawthorne, CA 90250-8018 | 2006-06-14 |
| 1063453934 | Garfield Beach Cvs LLC | Pharmacy | 11831 Hawthorne Blvd, Hawthorne, CA 90250-3013 | 2006-06-09 |
| Find all providers in HAWTHORNE | ||||
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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.