NPIMap

Organization Active NPI

Costco Wholesale Corporation

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1134448376
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HAS 439 Issued in SC
Legal business name
COSTCO WHOLESALE CORPORATION
Practice address
1021 Woodruff Rd
Greenville, SC 29607-4108
Phone
(864) 297-2584
Fax
(864) 297-2585
NPI assigned
May 27, 2010
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Mr. Jeremy Lane Edwards Sr., HAS-439
Title
Sr Hearing Instrument Specialist
Phone
(864) 297-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HAS 439 SC Primary

Addresses

Primary practice location

1021 Woodruff Rd
Greenville, SC 29607-4108

Mailing address

1021 Woodruff Rd
Greenville, SC 29607-4108
Phone (864) 297-2584

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy 1391,511 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1021 Woodruff Rd
Greenville, SC 29607
Phone (864) 297-2562

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1134448376",
    "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",
            "telephone_number": "864-297-2584",
            "fax_number": "864-297-2585"
        },
        {
            "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": "864-297-2584",
            "fax_number": "864-297-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "SR HEARING INSTRUMENT SPECIALIST",
        "authorized_official_telephone_number": "864-297-2584",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "HAS-439"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "HAS 439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.