Costco Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

55044 Issued in CA

Legal business name

COSTCO PHARMACY

Practice address

2660 Park Center Dr
Simi Valley, CA 93065-6207

Phone

(805) 578-3305

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barry Maizel

Title

Regional Pharmacy Supervisor

Phone

(714) 741-7726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1285984468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 PARK CENTER DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 PARK CENTER DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656207",
            "telephone_number": "805-578-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MAIZEL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "REGIONAL PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "714-741-7726"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "55044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Cooper
• Cornerstone Healthcare Solutions Inc (Caremax Home Health)
• Mariana Fabiola Corrales
• Joseph Michael Cortez, DPM
• Ambar Maria Corugedo, LCSW
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #128)
• Costco Wholesale Corporation (Costco Optical #128)
• Costco Wholesale Corporation
• Eric Coto, PHARMD

• Pharmacy in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.