COSTCO WHOLESALE CORPORATION (NPI# 1902916513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902916513 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Other Organization Name | COSTCO PHARMACY # 324 |
| Practice Address |
779 Connecticut Ave Norwalk CT 06854-1615 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 2038222002 |
| Practice Fax Number | 2038222009 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-08-19 |
| 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 |
1751 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 0718835 | 01 |
| Other Name | Type Code |
|---|---|
| COSTCO PHARMACY # 324 | 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 |
779 CONNECTICUT AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06854-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669971859 | Sundeep Aggarwal | Pharmacist | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2018-02-02 |
| 1073909008 | Costco Wholesale Corporation | Hearing Aid Equipment | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2015-04-07 |
| 1528452729 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2015-03-25 |
| 1790028835 | Dr. Erica L. Gross, O.d., P.C. | Optometrist | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2013-03-27 |
| 1114202116 | Manuel Pinho Lavoura | Pharmacist | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2011-10-21 |
| 1942584313 | Lea Roberson | Pharmacist | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2011-10-04 |
| 1275817876 | Shridat P Tiwari | Pharmacist | 779 Connecticut Ave, Norwalk, CT 06854-1615 | 2011-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467959981 | Gail Paige-bowman | Social Worker | 185 Rowayton Woods Dr., Norwalk, CT 06854 | 2018-04-11 |
| 1457854440 | Dorye Emory Jackson | Counselor | 50 Washington Street, Suite 750, Norwalk, CT 06854 | 2018-03-15 |
| 1225409550 | Brahmleen Kaur | Dentist | 9a Washington Street, Sono Dental Group LLC, Norwalk, CT 06854 | 2015-10-13 |
| 1578971461 | 4 Nurses At Work LLC | Registered Nurse | 9 Michael St, Norwalk, CT 06854 | 2014-07-24 |
| 1730527573 | Hyun Lee | Dentist | 9 Wahington St, Norwalk, CT 06854 | 2013-06-13 |
| 1861794364 | Laura Hart | Social Worker | 50 Washington St Ste 751, Norwalk, CT 06854 | 2010-12-03 |
| 1922316363 | Amie Kim | Pharmacist | 650 Connecticut Ave, Norwalk, CT 06854 | 2010-09-20 |
| 1497934970 | Zhen Zhen He | Pharmacist | 660 Connecticut Ave, Norwalk, CT 06854 | 2007-10-31 |
| 1467665612 | Megan A Whitney | Dentist | 49 Day Street, Norwalk Smiles Chc, Inc, Norwalk, CT 06854 | 2007-05-07 |
| 1942244819 | Eric Brandt Einstein | Internal Medicine | 120 Connecticut Avenue, Adult Medicine-nchc, Norwalk, CT 06854 | 2006-06-15 |
| Find all providers in zip 06854 | ||||
| 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 |
|---|---|---|---|---|
| 1154969269 | Narayan Drugs Inc | Pharmacy | 13132 Studebaker Rd Ste 8, Norwalk, CA 90650-2577 | 2019-12-19 |
| 1265946545 | Cynob Pharmacy LLC | Pharmacy | 13041 Rosecrans Ave Ste 206, Norwalk, CA 90650-0505 | 2017-11-26 |
| 1326287251 | Devi Usa Inc | Pharmacy | 13564 Pumice St, Norwalk, CA 90650-5249 | 2009-02-17 |
| 1821294620 | Walgreen Co. | Pharmacy | 4 E League St, Norwalk, OH 44857-1308 | 2007-06-27 |
| 1225102742 | K&s Health Group, Inc | Pharmacy | 12519 Alondra Blvd, Norwalk, CA 90650-7351 | 2006-11-17 |
| 1649374547 | Connecticut Cvs Pharmacy, L.L.C. | Pharmacy | 327 Main Ave, Norwalk, CT 06851-6156 | 2006-09-12 |
| 1154424851 | Ohio Cvs Stores LLC | Pharmacy | 106 Milan Ave, Norwalk, OH 44857-1732 | 2006-09-07 |
| 1548206600 | Garfield Beach Cvs LLC | Pharmacy | 11011 Alondra Blvd, Norwalk, CA 90650-6202 | 2006-06-20 |
| 1831132034 | Garfield Beach Cvs LLC | Pharmacy | 11623 East Rosecrans Boulevard, Norwalk, CA 90650 | 2006-06-14 |
| 1780625699 | Garfield Beach Cvs LLC | Pharmacy | 12618 Studebaker Rd, Norwalk, CA 90650-2517 | 2006-06-10 |
| Find all providers in NORWALK | ||||
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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.