COSTCO WHOLESALE CORPORATION (NPI# 1912017518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912017518 |
| Entity Type | Organization |
| Organization Name | COSTCO WHOLESALE CORPORATION |
| Practice Address |
14555 Valley Center Dr Victorville CA 92395 |
| Mailing Address |
Po Box 34300 Seattle WA 98124-1300 |
| Practice Telephone | 7605249911 |
| Practice Fax Number | 7605249908 |
| Mailing Telephone | 4253136670 |
| Mailing Fax Number | 4253136595 |
| Enumeration Date | 2006-08-30 |
| 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY40351 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1993035 | 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 |
14555 VALLEY CENTER DR |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477067635 | Taejune Kim | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2017-11-27 |
| 1720452303 | Nehis Oviawe | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2015-11-19 |
| 1497148662 | Costco Wholesale Corporation | Hearing Aid Equipment | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2015-03-12 |
| 1417347626 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2015-01-26 |
| 1396181244 | Magdy Aboelghar | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2013-05-20 |
| 1598024176 | Linna C Ko | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2012-05-16 |
| 1306121827 | Allen Houn | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2011-10-15 |
| 1417264086 | Chen C. Hwang | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2010-09-02 |
| 1457684508 | Pauline Minh Tilton | Pharmacist | 14555 Valley Center Dr, Victorville, CA 92395-4216 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| 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 |
|---|---|---|---|---|
| 1841842945 | Unicare Health Inc | Pharmacy | 12401 Hesperia Rd Ste 3, Victorville, CA 92395-5844 | 2019-07-10 |
| 1174990030 | Vista Care Pharmacy Inc | Pharmacy | 12351 Mariposa Rd # 11, Victorville, CA 92395-6013 | 2015-08-26 |
| 1861888265 | Greentree Discount Pharmacy, Inc | Pharmacy | 12998 Hesperia Rd Ste 102, Victorville, CA 92395-8317 | 2015-04-13 |
| 1720328453 | Tilton Nguyen Pharmaceutical Inc | Pharmacy | 15433 W Sand St Ste 102, Victorville, CA 92392-2903 | 2013-02-16 |
| 1922049840 | Garfield Beach Cvs LLC | Pharmacy | 13650 Bear Valley Rd, Victorville, CA 92392-8827 | 2006-06-10 |
| 1801879291 | Asr Health Inc. | Pharmacy | 12677 Hesperia Road, Suite 180, Victorville, CA 92395 | 2005-11-21 |
| 1881019156 | Walmart Inc. | Pharmacy | 12234 Palmdale Rd, Victorville, CA 92392-9418 | 2014-02-24 |
| 1720360852 | Walgreens | Pharmacy | 13655 Bear Valley Rd, Victorville, CA 92392-8521 | 2011-09-14 |
| 1912237108 | A-dr Reddy Pharmacy | Pharmacy | 12998 Hesperia Rd, Ste 102, Victorville, CA 92395-8316 | 2010-01-11 |
| 1912097957 | Longs Drug Stores California Inc | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-10-13 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on COSTCO WHOLESALE CORPORATION.
| 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.