Costco Wholesale Corporation
NPI 1104590991 · Community/Retail Pharmacy · San Antonio, TX
Costco Wholesale Corporation is a Community/Retail Pharmacy organization in San Antonio, TX (NPI 1104590991).
Provider details
- NPI number
- 1104590991
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Richard Stephens, Svp(425) 313-8259
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
133 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 75 | $31 |
| Admn Sarscov2 Vacc 1 Dose90480 | 58 | $39 |
Typical Medicare-allowed amounts for these services range $31–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1449
- Doing business as
- Costco Pharmacy #1449
Registry dates
- Enumerated
- 2021-08-04
- Last updated
- 2024-05-14
- Certified
- 2024-05-14
Frequently asked questions
- What is Costco Wholesale Corporation's NPI number?
- Costco Wholesale Corporation's National Provider Identifier (NPI) is 1104590991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Costco Wholesale Corporation?
- Costco Wholesale Corporation is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Costco Wholesale Corporation located?
- Costco Wholesale Corporation's practice location on file with NPPES is 191 W Loop 1604 S, San Antonio, TX 78245-4191.
- What is Costco Wholesale Corporation's phone number?
- The practice phone number listed in the NPPES registry for Costco Wholesale Corporation is (210) 868-6735.
- Who is the authorized official for Costco Wholesale Corporation?
- The authorized official listed on Costco Wholesale Corporation's NPPES record is Richard Stephens, Svp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Costco Wholesale Corporation's NPI active?
- Yes — Costco Wholesale Corporation's NPI (1104590991) is active in the NPPES registry as of the last update on 2024-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.