Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Atlanta, GA. Organization (NPI-2).
Details
- NPI
- 1124101282
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHRE009096 | GA | Yes |
Practice location
2900 Cumberland Mall SeAtlanta, GA 30339
Phone 770-431-1709 · Fax 770-431-1706
Mailing address
Po Box 34300Seattle, WA 98124-1300
Phone 425-313-6670 · Fax 425-313-6595
Authorized official
Richard Stephens
Svp Pharmacy
4253138259
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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