NPIMap

Organization Active NPI

Costco

  • Clinic/Center
  • Chico, CA
National Provider Identifier
1740516830
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RPH32394 Issued in CA
Legal business name
COSTCO
Practice address
2100 Dr Martin Luther King Junior Pkwy
Chico, CA 95928-4422
Phone
(530) 342-3776
Fax
(530) 332-1746
NPI assigned
Oct 23, 2009
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Mr. Clint Cook, RPH
Title
Pharmacy Manager
Phone
(530) 342-3776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RPH32394 CA Primary

Addresses

Primary practice location

2100 Dr Martin Luther King Junior Pkwy
Chico, CA 95928-4422

Mailing address

2100 Dr Martin Luther King Junior Pkwy
Chico, CA 95928-4422
Phone (530) 342-3776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1740516830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DR MARTIN LUTHER KING JUNIOR PKWY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284422",
            "telephone_number": "530-342-3776",
            "fax_number": "530-332-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DR MARTIN LUTHER KING JUNIOR PKWY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284422",
            "telephone_number": "530-342-3776",
            "fax_number": "530-332-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "530-342-3776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "RPH32394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.