Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Idaho Falls, ID

NPI number 1265054324 Active

Practice location

2495 E Lincoln Rd
Idaho Falls, ID 83401-2203

Call (986) 497-3159 Map

Fax (986) 497-3150

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 Idaho Falls

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NPI record

NPI: 1265054324
Entity type: Organization (Type 2)
Issued: May 12, 2020
Last updated: May 16, 2025
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Pharmacy #1379 · doing business as
Costco Pharmacy #1379 · doing business as

Authorized official

Richard Stephens
SVP Pharmacy
(425) 313-8259

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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.

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About NPI 1265054324

Costco Wholesale Corporation's National Provider Identifier is 1265054324, issued on May 12, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Idaho Falls, ID. The record was last updated on May 16, 2025.