NPIMap

Organization Active NPI

Costco Wholesale Corporation

Doing business as Costco Pharmacy #1709

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1255124269
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COSTCO WHOLESALE CORPORATION
Doing business as
Costco Pharmacy #1709
Practice address
6880 S Buffalo Dr
Las Vegas, NV 89113-2384
Phone
(725) 332-8743
Fax
(725) 241-6813
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6880 S Buffalo Dr
Las Vegas, NV 89113-2384

Mailing address

PO Box 34300
Seattle, WA 98124-1300
Phone (425) 416-2660

Other names 1

  • Costco Pharmacy #1709 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080820000449 TX Part B Supplier - Centralized Flu Biller 4082679451 This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Costco Pharmacy 3021,506 organizations share this tax ID, including this one

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 (25 of 589)

330 W Dimond Blvd
#10
Anchorage, AK 99515
Phone (907) 349-2335

5225 Commercial Blvd
#107
Juneau, AK 99801

3650 Galleria Cir
#362
Hoover, AL 35244
Phone (205) 909-1039

1205 Memorial Pkwy NW
#356
Huntsville, AL 35801
Phone (256) 519-2220

8251 Eastchase Pkwy
#1009
Montgomery, AL 36117
Phone (334) 270-7452

10000 W McDowell Rd
#691
Avondale, AZ 85392
Phone (623) 907-5663

1111 N Verrado Way
#1653
Buckeye, AZ 85326
Phone (480) 618-4010

595 S Galleria Way
#736
Chandler, AZ 85226
Phone (480) 375-2051

2887 S Market St
#644
Gilbert, AZ 85295
Phone (480) 366-3952

1415 N Arizona Ave
Gilbert, AZ 85233
Phone (480) 293-0052

1415 N Arizona Ave
#481
Gilbert, AZ 85233
Phone (480) 293-0053

17550 N 79th Ave
#674
Glendale, AZ 85308
Phone (623) 776-4000

1444 S Sossaman Rd
#1028
Mesa, AZ 85209
Phone (480) 333-6552

19001 N 27th Ave
#490
Phoenix, AZ 85027
Phone (623) 293-4403

4502 E Oak St
#465
Phoenix, AZ 85008
Phone (602) 808-0102

4570 E Cactus Rd
#1058
Phoenix, AZ 85032
Phone (480) 308-7046

1646 W Montebello Ave
#665
Phoenix, AZ 85015
Phone (602) 293-4524

1646 W Montebello Ave
Phoenix, AZ 85015
Phone (602) 293-4523

2450 E Beardsley Rd
#738
Phoenix, AZ 85050
Phone (480) 375-2850

4570 E Cactus Rd
Phoenix, AZ 85032
Phone (480) 308-7053

3911 E State Route 69
#466
Prescott, AZ 86301
Phone (928) 541-2203

3911 E State Route 69
Prescott, AZ 86301
Phone (928) 541-2214

15255 N Hayden Rd
#427
Scottsdale, AZ 85260
Phone (480) 948-5040

1445 W Elliot Rd
#436
Tempe, AZ 85284
Phone (480) 496-6635

3901 W Costco Dr
#431
Tucson, AZ 85741
Phone (520) 797-1984

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1255124269",
    "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": "425-416-2660",
            "fax_number": "425-313-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 S BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132384",
            "telephone_number": "725-332-8743",
            "fax_number": "725-241-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "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",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Pharmacy #1709",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Costco Pharmacy #1709",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.