Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Jacksonville, FL

NPI number 1144735556 Active

Practice location

8000 Parramore Rd
Jacksonville, FL 32244

Call (904) 479-7522 Map

Fax (904) 479-7523

Mailing address

PO Box 35005
Seattle, WA 98124-3405

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 …

4 other providers at this address

Other community/retail pharmacy providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1144735556
Entity type: Organization (Type 2)
Issued: Dec 7, 2017
Last updated: May 20, 2025
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Pharmacy #1294 · doing business as
Costco Pharmacy #1294 · 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 1144735556

Costco Wholesale Corporation's National Provider Identifier is 1144735556, issued on Dec 7, 2017. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Jacksonville, FL. The record was last updated on May 20, 2025.