Costco Wholesale Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0001920 Issued in OR

Legal business name

COSTCO WHOLESALE CORPORATION

Practice address

3130 Killdeer Ave SE
Albany, OR 97322

Phone

(541) 918-7042

Fax

(541) 918-7061

NPI assigned

Aug 30, 2006

Last updated

May 21, 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 1

Addresses

Other identifiers 2

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": "1747785600000",
    "number": "1841300472",
    "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": "3130 KILLDEER AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "97322",
            "telephone_number": "541-918-7042",
            "fax_number": "541-918-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTCO WHOLESALE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "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": "OR",
            "license": "0001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP IDENTIFICATION NUMBER",
            "identifier": "3814452",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corvallis Clinic PC (Corvallis Clinic Physical Therapy Heritage Mall DME only)
• Corvallis Sport and Spine Physical Therapy Inc (Albany Sport and Spine Physical Therapy)
• Richard Scott Costain, PHYSICAL THERAPIST
• Costco Wholesale Corporation (Costco Hearing Aid #682)
• Costco Wholesale Corporation (Costco Optical #682)
• Pamela Cotton, NP
• April Coughlin, DACM
• Juliet Coules, QMHA
• County of Linn (Linn County Public Health)
• County of Linn (Linn County Department of Health Services - Public Health)

• Community/Retail Pharmacy in Albany, OR
• Providers in Albany, OR by specialty
• Community/Retail Pharmacy in Oregon

• 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.