COSTCO PHARMACY 218 – NPI #1770842536
Clinic/Center

COSTCO PHARMACY 218 is an AHC clinic located in STERLING, VA. NPPES has assigned the NPI number 1770842536 to COSTCO PHARMACY 218 on May 14, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QC1500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Community Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COSTCO PHARMACY 218 below.

NPI Profile for
COSTCO PHARMACY 218

NPI Number
1770842536
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COSTCO PHARMACY 218
Primary location
21398 PRICE CASCADES PLAZA
STERLING, VA 20164
Phone: (703) 406-7048 Fax: (703) 406-7045
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELSA LAM
STAFF PHARMACIST
Phone: (703) 406-7046
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QC1500X
- Clinic/Center / Community Health (Primary)		 VA 0202010260
261QP2300X
- Clinic/Center / Primary Care		 VA 0202010260

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.