COSTCO WHOLESALE CORPORATION (NPI# 1629200456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629200456 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
4570 E Cactus Rd Phoenix AZ 85032 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 4803087049 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2009-08-12 |
| 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 |
Y005170 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121466 | 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 |
4570 E CACTUS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000168 | Nimo Ahmed Yousuf | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2018-10-29 |
| 1639688328 | Jarred Perkins | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2017-09-25 |
| 1730561093 | Amy Vinu Bhojwani | Optometrist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-06-23 |
| 1366835993 | Costco Wholesale Corporation | Hearing Aid Equipment | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-03-06 |
| 1578955753 | Jennifer Larson | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-02-25 |
| 1386034437 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2015-01-28 |
| 1720489388 | John Radosevich | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2014-09-12 |
| 1831435312 | Lori Drea | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2013-01-02 |
| 1235498965 | Nicole Lane | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2012-05-15 |
| 1336470053 | Vincent Lee | Pharmacist | 4570 E Cactus Rd, Phoenix, AZ 85032-7702 | 2010-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| 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 |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1164981643 | North Valley Pharmacy LLC | Pharmacy | 34975 N North Valley Pkwy Bldg 5, Phoenix, AZ 85086-4028 | 2019-03-14 |
| 1821569633 | Healthrx Pharmacy, LLC. | Pharmacy | 727 E Bethany Home Rd Ste B110, Phoenix, AZ 85014-2151 | 2018-12-06 |
| 1821572405 | Tramanto Community Pharmacy | Pharmacy | 2633 W Carefree Hwy Ste 115, Phoenix, AZ 85085-8864 | 2018-09-19 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1053818096 | Nixona Rx, LLC | Pharmacy | 1614 E Mcdowell Rd, Phoenix, AZ 85006-3032 | 2018-04-06 |
| 1841795887 | Nimble Pharmacy Inc | Pharmacy | 3702 E Roeser Rd Ste 5, Phoenix, AZ 85040-9047 | 2018-03-29 |
| 1881107696 | Julie Faye House | Pharmacy | 2655 E Brown St, Phoenix, AZ 85028-4314 | 2017-11-15 |
| 1295248268 | German Dobson Cvs, L.L.C. | Pharmacy | 5450 W Happy Valley Rd, Phoenix, AZ 85083-2949 | 2017-11-13 |
| 1073069860 | Bgh Pharmacy | Pharmacy | 3544 W Glendale Ave Ste E, Phoenix, AZ 85051-8359 | 2016-08-31 |
| Find all providers in PHOENIX | ||||
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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.