# COSTCO WHOLESALE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Costco Pharmacy \#1019
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013322296
- **Authorized official:** RICHARD STEPHENS (AVP - PHARMACY SERVICES)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 3571 W 10400 SOUTH, SOUTH JORDAN, UT 84095
- **Practice address phone:** (801) 523-5297
- **Practice address fax:** (801) 523-5288
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9112581-1703 | UT | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 05/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2146661 | PK | — |