Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Georgetown, TX

NPI number 1730875014 Active

Practice location

2201A N Ih 35
Georgetown, TX 78628-3749

Call (512) 240-9211 Map

Fax (512) 240-9202

Mailing address

PO Box 34300
Seattle, WA 98124-1300

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 …

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NPI record

NPI: 1730875014
Entity type: Organization (Type 2)
Issued: Apr 11, 2023
Last updated: Jun 30, 2025
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

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Costco Pharmacy #1385 · doing business as

Authorized official

Richard Stephens, RPH
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 1730875014

Costco Wholesale Corporation's National Provider Identifier is 1730875014, issued on Apr 11, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Georgetown, TX. The record was last updated on Jun 30, 2025.