Costco Wholesale Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

038.0003117 Issued in VT

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

218 Lower Mountain View Dr
Colchester, VT 05446

Phone

(802) 655-3156

Fax

(802) 654-7461

NPI assigned

Aug 30, 2006

Last updated

May 20, 2025By 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

Title

SVP Pharmacy

Phone

(425) 313-8259

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Costco Wholesale Corporation

  dba Costco Optical #314

  • Eyewear Supplier
  • Colchester, VT
  • NPI 1255725453
  NPPES parent name
• Costco Wholesale Corporation

  dba Costco Hearing Aid #314

  • Hearing Aid Equipment
  • Colchester, VT
  • NPI 1982099164
  NPPES parent name

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1437269065",
    "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": "218 LOWER MOUNTAIN VIEW DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "05446",
            "telephone_number": "802-655-3156",
            "fax_number": "802-654-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VT",
            "license": "038.0003117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Copley, MBA, ATC
• David Alan Copley
• Donald Wade Corbett
• Shari Lynne Corr, LM, CPM, CMT
• Costco Wholesale Corporation (Costco Optical #314)
• Costco Wholesale Corporation (Costco Hearing Aid #314)
• Candice Costello
• Counseling Connection Training Institute, PLC (Counseling Conection Training Institute, PLC)
• Counseling Connection Training Institute, PLC
• Counselor Grey LLC

• Community/Retail Pharmacy in Colchester, VT
• Providers in Colchester, VT by specialty
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.