COSTCO WHOLESALE CORPORATION NPI 1225348113

NPI Details

COSTCO WHOLESALE CORPORATION is a community/retail pharmacy pharmacy in Bolingbrook, IL. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COSTCO WHOLESALE CORPORATION NPI is 1225348113. The provider is registered as an organization entity type.

The provider's business location address is:

830 E BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440
Phone: (630) 410-0709
Fax: (630) 410-0706

The provider's authorized official is Victor Curtis .
The authorized official title is Svp Pharmacy and has the following contact phone number (425) 313-7206.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 10/14/2010 and was last updated on 7/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.