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COSTCO 1042
NPI 1154799922
Pharmacy in Redwood City, CA

Active since September 09, 2015
2300 MIDDLEFIELD RD, REDWOOD CITY, CA 94063(650) 568-4049 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Costco 1042 NPPES

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

COSTCO 1042 (NPI 1154799922) is a healthcare organization registered as a pharmacy in Redwood City, California and active in the NPI registry since September 2015. The organization lists Lakshmi Gangiredla, Pharmacy/manager, as its authorized official.

NPPES Registry Identity

NPI1154799922
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCOSTCO 1042
Location Address2300 MIDDLEFIELD RDRedwood City, CA 94063-2854
Mailing Address2300 Middlefield RdRedwood City, CA 94063-2854 · (650) 568-4049
Phone(650) 568-4049
Organization SubpartNo
Authorized OfficialLakshmi GangiredlaPharmacy/manager · (650) 568-4049
Enumeration DateSeptember 9, 2015
✔ NPI 1154799922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CA · 56490
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
2300 MIDDLEFIELD RD, Redwood City, CA 94063
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Other Providers at the Same Location NPPES 14

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

MRS. PROTIMA RAO R.PH
Pharmacist
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4049
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4051
PARNIAN MASSOOMI
Pharmacist
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4049
KATHLEEN YOUNG
Pharmacist
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4049
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4049
DR. KAREN LI CHENG O.D.
Optometrist
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 599-9898
DR. PAUL YIN PHARM. D.
Pharmacist
2300 MIDDLEFIELD RD, COSTCO PHARMACY #1042
REDWOOD CITY, CA 94063
San Mateo County (650) 988-7160
KARUNDRA BEN ABRAHAM PHARM D
Pharmacist
2300 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 568-4049

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 1042's NPI number?

The NPI number for Costco 1042 is 1154799922. It was assigned to this organization in the NPPES registry on September 9, 2015.

Where is Costco 1042 located?

Costco 1042 is located at 2300 Middlefield Rd, Redwood City, CA 94063. The listed phone number is (650) 568-4049.

What is Costco 1042's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Costco 1042 was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.