Costco Wholesale Corporation in Santa Rosa - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1114037728
Costco Wholesale Corporation is a Community/retail Pharmacy in Santa Rosa, California. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1114037728. The last update date is 2014-08-18.
Costco Wholesale Corporation's current location address is 1900 Santa Rosa Ave, Santa Rosa, California. You can contact this provider via phone number 7075781711 and fax number 7075786287. The mailing address for Costco Wholesale Corporation is 1900 Santa Rosa Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costco Wholesale Corporation |
|---|---|
| Address | 1900 Santa Rosa Ave, Santa Rosa, California |
| Phone Number | 7075781711 |
| Fax Number | 7075786287 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AVP PHARMA |
|---|---|
| Authorized Official Name | Mastromonica Michael |
| Telephone Number | 4253132892 |
NPI Number Detail
| NPI Number | 1114037728 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2014-08-18 |
Provider Mailing Address Detail
| Address | 1900 Santa Rosa Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954077621 |
| Phone Number | 7075781711 |
| Fax Number | 7075786287 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY41310 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 591633 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Costco Wholesale Corporation by the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation has been assigned the NPI (National Provider Identifier) 1114037728 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Costco Wholesale Corporation's physical address?
The Costco Wholesale Corporation is physically located at 1900 Santa Rosa Ave, in the city of Santa Rosa, CA, with the postal code 954077621.
What is Costco Wholesale Corporation's area of expertise and its corresponding taxonomy classification?
The Costco Wholesale Corporation's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Costco Wholesale Corporation receive the assignment of its 1114037728 from the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation was issued its 1114037728 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Costco Wholesale Corporation most recently updated?
The details pertaining to the Costco Wholesale Corporation, including its address, specialty, and other relevant information, were last refreshed on 2014-08-18.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA