NPIMap

Organization Active NPI

Costco Wholesale Corporation

Doing business as Costco Pharmacy/Central Fill #1347

  • Mail Order Pharmacy
  • Jeffersonville, IN
National Provider Identifier
1225594716
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
COSTCO WHOLESALE CORPORATION
Doing business as
Costco Pharmacy/Central Fill #1347
Practice address
260 Logistics Ave Ste C
Jeffersonville, IN 47130-4672
Phone
(800) 607-6861
Fax
(877) 258-9584
NPI assigned
Feb 20, 2019
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COSTCO WHOLESALE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Stephens
Title
SVP/Pharmacy
Phone
(425) 313-8259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

260 Logistics Ave Ste C
Jeffersonville, IN 47130-4672

Mailing address

PO Box 34300
Seattle, WA 98124-1300
Phone (425) 313-8100

Other names 1

  • Costco Pharmacy/Central Fill #1347 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy 1411,511 organizations share this tax ID, including this one
Part of
Costco Pharmacy 141

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

260 Logistics Ave
Ste C
Jeffersonville, IN 47130
Phone (800) 607-6861

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1225594716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241300",
            "telephone_number": "425-313-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LOGISTICS AVE STE C",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304672",
            "telephone_number": "800-607-6861",
            "fax_number": "877-258-9584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COSTCO WHOLESALE CORPORATION",
        "enumeration_date": "2019-02-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "SVP/PHARMACY",
        "authorized_official_telephone_number": "425-313-8259"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Pharmacy/Central Fill #1347",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Pharmacy/Central Fill #1347",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.