COSTCO WHOLESALE CORPORATION (NPI# 1497865000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497865000 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
17900 Newhope St Fountain Valley CA 92708 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 7144340344 |
| Practice Fax Number | 7144340532 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-24 |
| 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 |
PHY39749 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0577330 | 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 |
17900 NEWHOPE ST |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780109819 | Vincent Ky | Student in an Organized Health Care Education/Training Program | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2017-08-09 |
| 1336682020 | John N Pok | Pharmacist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2016-11-29 |
| 1073906624 | Costco Wholesale Corporation | Hearing Aid Equipment | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2015-03-06 |
| 1063801918 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2015-01-15 |
| 1972992758 | Anthony Choi | Pharmacist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2015-01-15 |
| 1770909657 | Janice Kassawat | Optometrist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2014-03-14 |
| 1457782047 | Joseph Gerosa | Pharmacist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2013-12-06 |
| 1790110963 | Janice Kassawat, O.d. Inc. | Optometrist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2013-09-06 |
| 1629329602 | Colleen Ann Lynch | Pharmacist | 17900 Newhope St, Fountain Valley, CA 92708 | 2012-10-01 |
| 1366793440 | Lisa Naruo | Pharmacist | 17900 Newhope St, Fountain Valley, CA 92708-5422 | 2012-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| 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 |
|---|---|---|---|---|
| 1154859528 | Pl Rx Pharmacy Inc | Pharmacy | 9430 Warner Ave Ste G, Fountain Valley, CA 92708-2826 | 2017-05-31 |
| 1437520558 | P & T Venture Inc | Pharmacy | 16055-d Brookhurst St, Fountain Valley, CA 92708-1544 | 2015-10-15 |
| 1013219138 | Pharmacore, Inc. | Pharmacy | 16569 Brookhurst St, Fountain Valley, CA 92708-2344 | 2010-11-22 |
| 1336290527 | Rvr 2 Drugs Inc | Pharmacy | 11100 Warner Ave Ste 1, Fountain Valley, CA 92708-7500 | 2007-01-15 |
| 1568511723 | Pioneer Pharmacy | Pharmacy | 10990 Warner Ave Ste A, Fountain Valley, CA 92708-3849 | 2007-01-09 |
| 1386754596 | Warner Plaza Pharmacy | Pharmacy | 10810 Warner Ave, Suite #9, Fountain Valley, CA 92708-3848 | 2006-08-30 |
| 1467493379 | Garfield Beach Cvs LLC | Pharmacy | 17136 Magnolia St, Fountain Valley, CA 92708-3348 | 2006-06-10 |
| 1104372846 | Orange Coast Memorial Medical Center | Pharmacy | 18035 Brookhurst St, Suite 1400, Fountain Valley, CA 92708 | 2016-09-01 |
| 1952857344 | Happytrust Corp. | Pharmacy | 18436 Brookhurst St, Fountain Valley, CA 92708-6706 | 2016-08-26 |
| 1134526528 | Brian Bao-kha Nguyen | Pharmacy | 10900 Warner Ave, Suite 114, Fountain Valley, CA 92708-3846 | 2014-12-01 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.