Active NPI
Costco Wholesale Corporation
Doing business as Costco Pharmacy #1119
- Hearing Aid Equipment
- West Fargo, ND
National Provider Identifier
1144578873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Aid Equipment
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Doing business as
- Costco Pharmacy #1119
- Practice address
- 750 23Rd Ave E
West Fargo, ND 58078-7804 - Phone
- (425) 313-8100
- NPI assigned
- Aug 28, 2012
- Last updated
- May 20, 2025
- Organization subpart
- Yes
- Parent organization
- COSTCO WHOLESALE CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Davis
- Title
- SVP Pharmacy
- Phone
- (425) 313-7206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | Primary |
Addresses
Primary practice location
750 23Rd Ave E
West Fargo, ND 58078-7804
Mailing address
P.O. Box 34300
Seattle, WA 98124-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3504897 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Costco Pharmacy #1119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080820000449 | TX | Part B Supplier - Centralized Flu Biller | 4082679451 | This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider Directory- Tax ID family
- Costco Pharmacy 39
- Part of
- Costco Pharmacy 39
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Costco Hearing Aid #1380
- Hearing Aid Equipment
- Bismarck, ND
- NPI 1265056972
-
dba Costco Optical #1119
- Eyewear Supplier
- West Fargo, ND
- NPI 1386035038
-
dba Costco Hearing Aid #1119
- Hearing Aid Equipment
- West Fargo, ND
- NPI 1467846717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747699200000",
"number": "1144578873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 34300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 23RD AVE E",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580787804",
"telephone_number": "425-313-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSTCO WHOLESALE CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
"enumeration_date": "2012-08-28",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "SVP PHARMACY",
"authorized_official_telephone_number": "425-313-7206"
},
"taxonomies": [
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "3504897",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Costco Pharmacy #1119",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Fargo, ND
- Sarah Corbett
- Corwin Family Dentistry, PC
- David Jeffrey Corwin, D.D.S.
- Margaret Cossette
- Sophie Cossitt
- Costco Wholesale Corporation (Costco Optical #1119)
- Costco Wholesale Corporation (Costco Hearing Aid #1119)
- Trinity Courtemanche
- A Lexis Dasani Crawford, MED AIDE, CNA
- James Reed Cronin, APRN, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.