Costco Wholesale Corporation
Organization Active NPI Community/Retail Pharmacy · Selma, TX
NPI 1992998702 · NPPES record last updated May 14, 2024
Key facts
- NPI
- 1992998702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 25721 (TX)
- Legal business name
- COSTCO WHOLESALE CORPORATION
- Practice address
- 15330 Ih 35 N
Selma, TX 78154 - Phone
- (210) 332-1081
- Fax
- (210) 332-1078
- NPI assigned
- Aug 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard Stephens
- Title
- SVP
- Phone
- (425) 313-8259
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080820000449 | TX | Part B Supplier - Centralized Flu Biller | 4082679451 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 25721 | TX | Yes |
Addresses
Primary practice location
15330 Ih 35 N
Selma, TX 78154
Mailing address
PO Box 34300
Seattle, WA 98124-1300
Phone (425) 313-6670
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4545731 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- Costco Pharmacy #1006
Other providers in Selma, TX
- Alisa A. Brzek
- Miranda Leigh Castillo
- Chanda Holmes PLLC
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- CVS Pharmacy Inc
- Jenna Kamaile Nurial Dacalio
- Daniel & Max, LLC
- Lauren Diane Delgado
- Robert Nichael Dobbins
All providers in Selma, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.