Organization Active NPI

Costco

  • Pharmacist
  • Purcellville, VA
National Provider Identifier
1801225636
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011087 Issued in VA
Legal business name
COSTCO
Practice address
19193 Pintail CT
Purcellville, VA 20132-3957
Phone
(540) 338-2704
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Mrs. Michelle Marks Thompson, RPHNPI 1376818021
Title
Pharamacist
Phone
(540) 338-2704

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 0202011087 VA Primary

Addresses

Primary practice location

19193 Pintail CT
Purcellville, VA 20132-3957

Mailing address

19193 Pintail CT
Purcellville, VA 20132-3957
Phone (540) 338-2704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1801225636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19193 PINTAIL CT",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323957",
            "telephone_number": "540-338-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19193 PINTAIL CT",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323957",
            "telephone_number": "540-338-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARKS",
        "authorized_official_title_or_position": "PHARAMACIST",
        "authorized_official_telephone_number": "540-338-2704",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.