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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COSTCO WHOLESALE CORPORATION
NPI 1063330942
Hearing Aid Equipment in Stone Mountain, GA

Active since July 08, 2026CLIA Certified · 3 labs
1915 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087(425) 313-6275 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Costco Wholesale Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO WHOLESALE CORPORATION (NPI 1063330942), doing business as Costco Hearing Aid #1769, is a healthcare organization registered as a hearing aid equipment in Stone Mountain, Georgia and active in the NPI registry since July 2026. The organization holds 3 active CLIA laboratory certificates and lists Christian Anthis, Agmm Hearing Aid, as its authorized official.

NPPES Registry Identity

NPI1063330942
Entity TypeOrganization
Primary Taxonomy332S00000X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address1915 W PARK PLACE BLVDStone Mountain, GA 30087
Mailing AddressPo Box 35005Seattle, WA 98124-3405 · (425) 313-8100
Phone(425) 313-6275
Organization SubpartYes
Authorized OfficialChristian AnthisAgmm Hearing Aid · (425) 313-8100
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1063330942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHearing Aid EquipmentSuppliers
Taxonomy Code332S00000X
Definition
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
1915 W PARK PLACE BLVD, Stone Mountain, GA 30087
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Other Names 1

Doing Business AsCostco Hearing Aid #1769

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2014240

Costco Wholesale #1086 · Camas, WA
Active · expires Apr 4, 2028
CLIA Number50D2014240
Laboratory TypePharmacy
Certificate Effective DateOctober 4, 2010
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale #108619610 SE 1st St, Camas, WA 98607
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2272184

Costco Wholesale Corporation · Saint Augustine, FL
Active · expires Nov 15, 2026
CLIA Number10D2272184
Laboratory TypePharmacy
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorVi Dam Janusz
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale Corporation215 World Commerce Pkwy, Saint Augustine, FL 32092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2270667

Costco Wholesale Corporation · Melbourne, FL
Active · expires Oct 18, 2026
CLIA Number10D2270667
Laboratory TypePharmacy
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorConnor Patrick Mcclinton
Laboratory Phone(425) 313-6275
Laboratory LocationCostco Wholesale Corporation4305 Pineda Causeway, Melbourne, FL 32940
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA SU-KEONG CHAO PHARMD
Pharmacist
1915 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (678) 748-3920
STONE MOUNTAIN EYECARE LLC
Optometrist
1915 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (678) 748-3925
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
1915 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (425) 313-8100
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
1915 W PARK PLACE BLVD
STONE MOUNTAIN, GA 30087
Dekalb County (678) 748-3920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1063330942. It was assigned to this organization in the NPPES registry on July 8, 2026. The provider is doing business as Costco Hearing Aid #1769.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 1915 W Park Place Blvd, Stone Mountain, GA 30087. The listed phone number is (425) 313-6275.

What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Hearing Aid Equipment with taxonomy code 332S00000X.

Does Costco Wholesale Corporation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.