Costco Wholesale Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006872 Issued in LA

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809

Phone

(225) 295-4610

Fax

(225) 295-4601

NPI assigned

Mar 14, 2014

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 1

Addresses

Other identifiers 1

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 11

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

• Costco Wholesale Corporation

  • Eyewear Supplier
  • Baton Rouge, LA
  • NPI 1114311388
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Covington, LA
  • NPI 1114767563
  NPD tax ID
• Costco Wholesale Corporation

  • Eyewear Supplier
  • New Orleans, LA
  • NPI 1205220472
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1386027381
  NPD tax ID
• Costco Wholesale Corporation

  • Community/Retail Pharmacy
  • New Orleans, LA
  • NPI 1447697438
  NPD tax ID
• Costco Wholesale Corporation

  • Eyewear Supplier
  • Covington, LA
  • NPI 1467295741
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Lafayette, LA
  • NPI 1639553324
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Baton Rouge, LA
  • NPI 1689069445
  NPD tax ID
• Costco Wholesale Corporation

  • Eyewear Supplier
  • Lafayette, LA
  • NPI 1770967416
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • New Orleans, LA
  • NPI 1770978538
  NPD tax ID
• Costco Wholesale Corporation

  • Hearing Aid Equipment
  • Covington, LA
  • NPI 1912740291
  NPD tax ID

Locations

Practitioners 2

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

• Vincent Dinh

  • Pharmacist
  • Baton Rouge, LA
  • NPI 1922313881
  NPD (past)
• Scott Overmier, PHARMD

  • Pharmacist
  • Baton Rouge, la, LA
  • NPI 1164941779
  NPD (past)

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1811313836",
    "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": "10000 DAWNADELE AVE",
            "address_2": "BUILDING A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-295-4610",
            "fax_number": "225-295-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "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": "LA",
            "license": "006872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela D Coss, APRN, FNP-CNP
• Clint M. Costanza, ,PA
• Kate Leblanc Costanza, PA-C
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Delvin Coston, MD
• Shedrick Coston
• Andrea D Cothern, NP
• Gregory William Cotter, M.D.
• Cotton Transportation

• Community/Retail Pharmacy in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.