Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Kansas City, MO

NPI number 1083145759 Active

Practice location

1600 NW 88th St
Kansas City, MO 64155

Call (816) 857-7096 Map

Fax (816) 857-7087

Mailing address

PO Box 34300
Seattle, WA 98124

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

3 other providers at this address

Other community/retail pharmacy providers in Kansas City

See all in Kansas City →

NPI record

NPI: 1083145759
Entity type: Organization (Type 2)
Issued: Mar 24, 2017
Last updated: May 20, 2025
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Pharmacy #1268 · doing business as
Costco Pharmacy #1268 · doing business as

Authorized official

Richard Stephens
SVP Pharmacy
(425) 313-8259

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083145759

Costco Wholesale Corporation's National Provider Identifier is 1083145759, issued on Mar 24, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Kansas City, MO. The record was last updated on May 20, 2025.