COSTCO WHOLESALE CORPORATION (NPI# 1619087210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619087210 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY #428 |
| Practice Address |
2207 W Commonwealth Ave Alhambra CA 91803-1302 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 6262826954 |
| Practice Fax Number | 6262820550 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-14 |
| 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 |
PHY41651 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0536978 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY #428 | 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 |
2207 W COMMONWEALTH AVE |
| City | ALHAMBRA |
| State | CA |
| Zip Code | 91803-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578038741 | Erica Koh | Pharmacist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2018-10-03 |
| 1578916375 | Ashli Leong | Optometrist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2016-07-15 |
| 1952794232 | Costco Wholesale Corporation | Hearing Aid Equipment | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2015-03-11 |
| 1982093555 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2015-01-20 |
| 1871920819 | Tawny Issarapanichkit | Pharmacist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2013-10-05 |
| 1962766691 | Steve Sourivong | Pharmacist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2012-06-27 |
| 1720361702 | Melinda Joy Hsia | Pharmacist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2011-09-26 |
| 1598976870 | Cary Syan Yuan Tseng | Optometrist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2007-05-25 |
| 1811101413 | Steven Yongjin Kim | Acupuncturist | 2207 W Commonwealth Ave, Alhambra, CA 91803-1302 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1932768421 | Lorna Lynch | Student in an Organized Health Care Education/Training Program | Lorna Lynch, 1000 S Freemont, Unit 5, Alhambra, CA 91803 | 2019-06-10 |
| 1114409281 | Roslynn Stone | Pharmacist | 1000 S. Fremont, A10n Suite 10150, Alhambra, CA 91803 | 2018-09-05 |
| 1598250615 | Motherly Comfort Home Care, LLC | In Home Supportive Care | 300 W Valley Blvd # 911, Alhambra, CA 91803 | 2018-06-30 |
| 1922510858 | Christina Arez | Behavioral Analyst | 1000 Freemont Ave., Bldg A5, Suite 5100, Unit 81, Alhambra, CA 91803 | 2017-11-01 |
| 1508312182 | Tiffany Chan | Occupational Therapist | 1000 S Fremont Ave., Alhambra, CA 91803 | 2016-09-01 |
| 1194123323 | Jessica Kuo | Pharmacist | 1800 S. 5th Street, Alhambra, CA 91803 | 2014-12-22 |
| 1467861096 | Second Wind Home Health Inc | Home Health | 2225 W. Commonwealth Ave Sutie 213, Alhambra, CA 91803 | 2014-08-07 |
| 1306254800 | Sum Li, Dds, Inc. | Dentist | 2311 West Valley Blvd., Alhambra, CA 91803 | 2014-07-28 |
| 1518380443 | Qiuchen Tu | Behavioral Analyst | 506 S. Palm Ave., Alhambra, CA 91803 | 2014-01-29 |
| Find all providers in zip 91803 | ||||
| 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 |
|---|---|---|---|---|
| 1114547650 | L & L Rx Inc | Pharmacy | 1118 S Garfield Ave Ste 101, Alhambra, CA 91801-4796 | 2020-04-24 |
| 1417047739 | Advance Pharmacy Inc. | Pharmacy | 88 S Palm Ave, Alhambra, CA 91801-3101 | 2006-10-15 |
| 1215031265 | Main Pharmacy | Pharmacy | 103 N Garfield Ave Ste D, Alhambra, CA 91801-3576 | 2006-09-12 |
| 1871504456 | Tal Inc Dba A 1 Pharmacy | Pharmacy | 935 S Garfield Ave, Alhambra, CA 91801-4442 | 2006-08-10 |
| 1437194230 | Garfield Beach Cvs LLC | Pharmacy | 2532 W Valley Blvd, Alhambra, CA 91803-1934 | 2006-06-17 |
| 1245878735 | M & M Thai Enterprises Inc | Pharmacy | 349 E Main St Ste 101, Alhambra, CA 91801-7909 | 2019-12-15 |
| 1356903454 | Lakeli Pharmacy Group Inc | Pharmacy | 88 S Palm Ave, Alhambra, CA 91801-3101 | 2019-06-28 |
| 1790160273 | University of Southern California | Pharmacy | 1000 S Fremont Ave, Suite 10150, Alhambra, CA 91803-8800 | 2015-07-24 |
| 1669854782 | Sav-on Pharmacy Albertson's | Pharmacy | 2400 W Commonwealth Ave, Alhambra, CA 91803 | 2015-06-25 |
| 1821409814 | Alpha M Edical Pharmacy | Pharmacy | 703 W Valley Blvd, Alhambra, CA 91803-3232 | 2014-05-13 |
| Find all providers in ALHAMBRA | ||||
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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.