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COSTCO PHARMACY #621
NPI 1598133449
Pharmacy - Community/Retail Pharmacy in Fort Myers, FL

Active since September 09, 2015CLIA 10D1103221 · Waiver
10088 GULF CENTER DR, FORT MYERS, FL 33913(239) 433-7249 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 Pharmacy #621 NPPES

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

COSTCO PHARMACY #621 (NPI 1598133449) is a healthcare organization registered as a community/retail pharmacy in Fort Myers, Florida and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Dave Lovell, Pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1598133449
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address10088 GULF CENTER DRFort Myers, FL 33913-8961
Mailing Address10088 Gulf Center DrFort Myers, FL 33913-8961 · (239) 433-7249
Phone(239) 433-7249
Organization SubpartNo
Authorized OfficialDave LovellPharmacist-in-charge · (239) 433-7249
Enumeration DateSeptember 9, 2015
✔ NPI 1598133449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in SC · 36031✔ Licensed in FL · PS53638✔ Licensed in VA · 0202214057
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 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.
10088 GULF CENTER DR, Fort Myers, FL 33913
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Other Names 1

Doing Business AsCostco Pharmacy #621

Other Identifiers 1

Other699245Nabp

CLIA Laboratory Certificates CMS CLIA

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 10D1103221

Costco Pharmacy #621 · Fort Myers, FL
Active · expires Aug 4, 2027
CLIA Number10D1103221
Laboratory TypePharmacy
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorRebekah M. Dant
Laboratory Phone(239) 433-7249
Laboratory LocationCostco Pharmacy #62110088 Gulf Center Dr, Fort Myers, FL 33913
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DENISHKUMAR PRANLAL KALAVADIA
Pharmacist
10088 GULF CENTER DR
FORT MYERS, FL 33913
Lee County (239) 433-7249
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
10088 GULF CENTER DR
FORT MYERS, FL 33913
Lee County (239) 433-7240
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
10088 GULF CENTER DR
FORT MYERS, FL 33913
Lee County (239) 433-7249
BRITTANY RAWLINS PHARMD
Pharmacist
10088 GULF CENTER DR
FORT MYERS, FL 33913
Lee County (239) 433-7249
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
10088 GULF CENTER DR
FORT MYERS, FL 33913
Lee County (239) 433-7264

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 1598133449. It was assigned to this organization in the NPPES registry on September 9, 2015. The provider is doing business as Costco Pharmacy #621.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 10088 Gulf Center Dr, Fort Myers, FL 33913. The listed phone number is (239) 433-7249.

What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Costco Wholesale Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1103221) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation 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.