Costco Wholesale Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9301-42 Issued in WI

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

7707 94TH Ave
Pleasant Prairie, WI 53158

Phone

(262) 597-1037

Fax

(262) 597-1028

NPI assigned

Mar 11, 2015

Organization subpart

No

Name

Richard Stephens

Title

SVP Pharmacy

Phone

(425) 313-8259

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Costco Pharmacy 3021,506 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

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

• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Bellevue, WI
  • NPI 1164864922
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Grafton, WI
  • NPI 1194110957
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Pewaukee, WI
  • NPI 1275928038
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Menomonee Falls, WI
  • NPI 1285011890
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1306526660
  NPD tax ID
• Costco Wholesale Corporation

  • Eyewear Supplier
  • Eau Claire, WI
  • NPI 1366222002
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Pleasant Prairie, WI
  • NPI 1366837080
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Verona, WI
  • NPI 1376288753
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Sun Prairie, WI
  • NPI 1376892851
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Middleton, WI
  • NPI 1376938134
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Menomonee Falls, WI
  • NPI 1417334038
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Bellevue, WI
  • NPI 1427441054
  NPD tax ID

• Costco Pharmacy #1198 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2024.

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1477946705",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 94TH AVE",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "53158",
            "telephone_number": "262-597-1037",
            "fax_number": "262-597-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9301-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costco Pharmacy #1198",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Clough-Knapp, OT
• Louis J Cohn, DPT
• Alma L Colgrove, FNP
• Kevin Micheal Conto, M.P.T.,A.T.C.
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Colleen Courtney, PA-C
• Christine C Cox
• Lauren Michelle Cox, DPT
• Bradley Richard Cramlet, RN, BSN

• All providers in Pleasant Prairie, WI
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.