Costco Wholesale

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH00021094 Issued in WA

Legal business name

COSTCO WHOLESALE

Practice address

1801 10TH Ave NW
Issaquah, WA 98027-5384

Phone

(425) 313-9200

NPI assigned

Aug 15, 2011

Organization subpart

No

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

Authorized official

Name

Joe Miller

Title

Pharmacist

Phone

(425) 313-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1437438967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 10TH AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275384",
            "telephone_number": "425-313-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 10TH AVE NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275384",
            "telephone_number": "425-313-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "425-313-9200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PH00021094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.