Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1209
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
9235 PERSHING AVENUE, MENOMONEE FALLS, WI 53051
(262) 946-6070
(262) 946-6061
Mailing address
PO BOX 3430, SEATTLE, WA 98114-3430
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9338-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153673
PK
—
Enumeration date
05/04/2015
Last updated
02/07/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up