Costco

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PS15275 Issued in FL

Legal business name

COSTCO

Doing business as

Pharnacy

Practice address

1800 W Sample Rd
Pompano Beach, FL 33064-1324

Phone

(954) 972-0313

Fax

(954) 972-9738

NPI assigned

Jul 15, 2016

Last updated

Jul 15, 2016By 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

Mr. Jeffrey Mark Weisler, RPH

Title

Pharmacist

Phone

(954) 551-4692

Specialties & licenses 1

Addresses

Other names 1

• Pharnacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeff Mark Weisler, RPH

  • Pharmacist
  • Pompano Beach, FL
  • NPI 1518240647
  NPD (past)

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1558714477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11064 BRANDYWINE LAKE WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734888",
            "telephone_number": "954-551-4692",
            "fax_number": "954-972-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W SAMPLE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330641324",
            "telephone_number": "954-972-0313",
            "fax_number": "954-972-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "WEISLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "954-551-4692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "FL",
            "license": "PS15275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharnacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Martha Costin
• Keshia Marie Coston

• Ambulatory Care Pharmacist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Ambulatory Care Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.