Costco

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

14212 Issued in SC

Legal business name

COSTCO

Practice address

1021 Woodruff Rd
Greenville, SC 29607-4108

Phone

(864) 297-2569

NPI assigned

Mar 4, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick Mains

Title

Pharmacy Manager

Phone

(864) 297-2569

Specialties & licenses 1

Addresses

Tax ID family

Costco3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Costco

  • Health Service Clinic/Center
  • Mettawa, IL
  • NPI 1164826772
  NPD tax ID
• Costco

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Frederick, MD
  • NPI 1366827933
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1043635709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074108",
            "telephone_number": "864-297-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "MAINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "864-297-2569"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "SC",
            "license": "14212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen T. Coss
• Gregory Costa, PA-C
• Lisa Ellis Costa, MT-BC
• Steven Costa
• Taylor Costanza
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Daniel Mike Coster, MD

• Public Health or Welfare Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Public Health or Welfare Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.