COSTCO WHOLESALE CORP (NPI# 1679667927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679667927 |
Entity Type | Organization |
Organization Name | COSTCO WHOLESALE CORP |
Practice Address |
11330 Fountains Dr Maple Grove MN 55369 |
Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
Practice Telephone | 7634948059 |
Practice Fax Number | 7634948056 |
Mailing Telephone | 4253136670 |
Mailing Fax Number | 4253136595 |
Enumeration Date | 2006-10-03 |
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 |
262900 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 2427727 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538352612 | Costco Wholesale Corp | Pharmacy | 6675 Marie Curie Dr, Elkridge, MD 21075 | 2007-08-22 |
1518167493 | Costco Wholesale Corp | Pharmacy | 1021 Woodruff Rd, Greenville, SC 29607 | 2007-07-19 |
1114130002 | Costco Wholesale Corp | Pharmacy | 2700 Park Ave, Tustin, CA 92782-2708 | 2007-05-07 |
1669593042 | Costco Wholesale Corp | Pharmacy | 11001 Southern Blvd, Royal Palm Beach, FL 33411 | 2007-04-03 |
1124149604 | Costco Wholesale Corp | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913 | 2007-04-03 |
1326179250 | Costco Wholesale Corp | Pharmacy | 501 Waterfront Dr W, West Homestead, PA 15120 | 2007-03-09 |
1942343421 | Costco Wholesale Corp | Pharmacy | 16375 Washington St, Thornton, CO 80023 | 2007-02-15 |
1245399617 | Costco Wholesale Corp | Pharmacy | 4300 Nuhou St, Lihue, HI 96766 | 2006-12-08 |
1942394291 | Costco Wholesale Corp | Pharmacy | 170 Cooley Mesa Rd, Gypsum, CO 81637 | 2006-10-03 |
1366536765 | Costco Wholesale Corp | Pharmacy | 2838 Wake Forest Rd, Raleigh, NC 27609 | 2006-10-03 |
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 |
11330 FOUNTAINS DR |
City | MAPLE GROVE |
State | MN |
Zip Code | 55369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235524190 | Costco Wholesale Corporation | Hearing Aid Equipment | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2015-03-30 |
1063803807 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2015-02-16 |
1114200144 | Anastasiya Shtulman | Pharmacist | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2011-09-26 |
1487937579 | Matthew Dale Holt | Pharmacist | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2011-09-24 |
1053504779 | Tlc of The Twin Cities | Optometrist | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2007-08-27 |
1740313824 | Apolade Inc | Optometrist | 11330 Fountains Dr, Maple Grove, MN 55369-7200 | 2007-03-14 |
1215091616 | Timothy Nelson | Optometrist | 11330 Fountains Dr, Maple Grove, MN 55369 | 2006-12-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
Find all providers in zip 55369 |
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 |
---|---|---|---|---|
1861592206 | Grand St Paul Cvs LLC | Pharmacy | 6300 Wedgewood Rd N, Maple Grove, MN 55311 | 2006-09-25 |
1326060013 | Grand St Paul Cvs LLC | Pharmacy | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2006-07-24 |
1548560535 | North Memorial Pharmacy Maple Grove | Pharmacy | 9825 Hospital Drive, Suite 100, Maple Grove, MN 55369-4479 | 2010-10-25 |
1831383504 | Hass Enterprises, Inc. | Pharmacy | 9825 Hospital Dr., 100, Maple Grove, MN 55369 | 2007-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
Find all providers with the same taxonomy |
City | MAPLE GROVE |
Zip Code | 55369 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORP.
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.