COSTCO (NPI# 1699220210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699220210 |
| Entity Type | Organization |
| Organization Name | COSTCO |
| Practice Address |
1445 R St Merced CA 95340-5850 |
| Practice Telephone | 2097255030 |
| Mailing Telephone | 2097255030 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | MR. JAMES EDWARD LAJUNE (STAFF PHARMACIST) |
| Authorized Official Telephone | 2097255030 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28432 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1801225636 | Costco | Pharmacist | 19193 Pintail Ct, Purcellville, VA 20132-3957 | 2013-11-02 |
| 1558714477 | Costco | Pharmacist | 1800 W Sample Rd, Pompano Beach, FL 33064-1324 | 2016-07-15 |
| 1366827933 | Costco | Clinic/Center | 10 Monocacy Blvd, Frederick, MD 21704-7256 | 2015-07-24 |
| 1134500838 | Costco | Pharmacy | 2660 Park Center Dr, Simi Valley, CA 93065-6207 | 2015-06-18 |
| 1457758195 | Costco | Pharmacy | 50 Overlook Blvd, Nanuet, NY 10954-5290 | 2014-11-24 |
| 1538566401 | Costco | Pharmacy | 2020 Commerce Dr Nw, Rochester, MN 55901-3246 | 2014-11-20 |
| 1164826772 | Costco | Clinic/Center | 25901 N Riverwoods Rd, Mettawa, IL 60045-3403 | 2014-10-11 |
| 1437552353 | Costco | Pharmacist | 1051 W Burbank Blvd, Burbank, CA 91506-1421 | 2014-10-06 |
| 1043635709 | Costco | Public Health or Welfare | 1021 Woodruff Rd, Greenville, SC 29607-4108 | 2014-03-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | COSTCO ATLANTA CIGARETTES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Washington State Corporations | COSTCO BEVERAGES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Washington State Corporations | COSTCO COMPANIES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Oregon Corporations, Companies and Business Names | COSTCO DEALS | 2474 Nw 113th Ave, Portland, OR 97229 |
| Colorado Business Entities | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO FINANCIAL SERVICES, INC. | 999 Lake Dr, Issaquah, WA 98027-8990 |
| Oregon Corporations, Companies and Business Names | COSTCO GASOLINE | 999 Lake Dr, Issaquah, WA 98027 |
| Iowa Business Entities | COSTCO HEALTH SOLUTIONS, INC. | 999 Lake Dr, Isaaquah, WA 98027 |
| Oregon Corporations, Companies and Business Names | COSTCO HEALTH SOLUTIONS, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Washington State Corporations | COSTCO HEALTH SOLUTIONS, INC. | 999 Lake Dr, Issaquah, WA 98027 |
| Street Address |
1445 R ST |
| City | MERCED |
| State | CA |
| Zip Code | 95340-5850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336259936 | Costco Wholesale Corporation | Pharmacy | 1445 R St, Merced, CA 95340 | 2006-08-30 |
| 1003365453 | James La June | Pharmacist | 1445 R St, 3061 Coppertree Court, Merced, CA 95340-5850 | 2016-09-27 |
| 1578956116 | Costco Wholesale Corporation | Hearing Aid Equipment | 1445 R St, Merced, CA 95340-5850 | 2015-03-06 |
| 1548650286 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1445 R St, Merced, CA 95340-5850 | 2015-02-03 |
| 1235413816 | Jeffery Benjamin | Pharmacist | 1445 R St, Merced, CA 95340-5850 | 2011-09-30 |
| 1588720411 | Fernando Chen | Optometrist | 1445 R St, Merced, CA 95340-5850 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459122 | Catherine Ericka Lee | Pharmacist | 649 W Olive Ave, Merced, CA 95348-2424 | 2020-02-18 |
| 1518451632 | Kenneth Tiea Pay | Pharmacist | 767 Ironstone Dr, Merced, CA 95348 | 2018-06-21 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154859197 | Pawan Bagari | Pharmacist | 3866 Colma Ave, Merced, CA 95348-8719 | 2017-06-02 |
| 1740673169 | Thu Giang Thi Vo | Pharmacist | 3875 Colma Ave, Merced, CA 95348-8719 | 2015-03-10 |
| 1962814368 | Marvin Souza | Pharmacist | 3550 G St, Merced, CA 95340-0691 | 2014-05-20 |
| 1942627211 | Haris Sattari | Pharmacist | 2801 Park Ave Apt 2, Merced, CA 95348-3307 | 2014-03-25 |
| 1477993822 | Joseph John Malloy IIi | Pharmacist | 1325 El Portal Dr, Merced, CA 95340-0774 | 2013-06-30 |
| 1790071710 | Richard Lee Humphrey | Pharmacist | 1058 West Main Street, Merced, CA 95340 | 2011-06-28 |
| 1104115880 | Katherine Tayag Belen | Pharmacist | 3142 G St, Merced, CA 95340-1368 | 2011-04-01 |
| Find all providers in MERCED | ||||
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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.