Costco Wholesale Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2001000061 Issued in MO

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

10 SE Oldham Pkwy
Lees Summit, MO 64081-2986

Phone

(816) 272-2546

Fax

(816) 272-1107

NPI assigned

Aug 30, 2006

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1386754901",
    "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": "425-313-6670",
            "fax_number": "425-313-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SE OLDHAM PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812986",
            "telephone_number": "816-272-2546",
            "fax_number": "816-272-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "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": "MO",
            "license": "2001000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2633596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrin Cory, LPC, NCC
• Cameron Cosens
• Cosentino Enterprises Inc (Price Chopper Pharmacy)
• Cosentino Enterprises Inc (Price Chopper Pharmacy #157)
• Kelsey Costa, RBT
• Costco Wholesale Corporation (Costco Hearing Aid #1838)
• Costco Wholesale Corporation (Costco Optical #1838)
• Carmen Leigh Costello, PHARMD
• Cottle Optometry, PC (Summit Lakes Eye Care)
• John L Cottle, O.D.

• Community/Retail Pharmacy in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.