OrganizationActive
Costco 1042
NPI 1154799922 · Pharmacy · Redwood City, CA
Costco 1042 is a Pharmacy organization in Redwood City, CA (NPI 1154799922).
Provider details
- NPI number
- 1154799922
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lakshmi Gangiredla, Pharmacy/Manager(650) 568-4049
- License
- 56490 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2300 Middlefield Rd
Redwood City, CA 94063-2854
Phone: (650) 568-4049
Street-level locationGet directions
Mailing address
2300 Middlefield Rd
Redwood City, CA 94063-2854
Registry dates
- Enumerated
- 2015-09-09
- Last updated
- 2015-09-09
Frequently asked questions
- What is Costco 1042's NPI number?
- Costco 1042's National Provider Identifier (NPI) is 1154799922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Costco 1042?
- Costco 1042 is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Costco 1042 located?
- Costco 1042's practice location on file with NPPES is 2300 Middlefield Rd, Redwood City, CA 94063-2854.
- What is Costco 1042's phone number?
- The practice phone number listed in the NPPES registry for Costco 1042 is (650) 568-4049.
- Who is the authorized official for Costco 1042?
- The authorized official listed on Costco 1042's NPPES record is Lakshmi Gangiredla, Pharmacy/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Costco 1042's NPI active?
- Yes — Costco 1042's NPI (1154799922) is active in the NPPES registry as of the last update on 2015-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.