OrganizationActive
Costco Wholesale Corporation
NPI 1164169090 · Community/Retail Pharmacy · Ankeny, IA
Costco Wholesale Corporation is a Community/Retail Pharmacy organization in Ankeny, IA (NPI 1164169090).
Provider details
- NPI number
- 1164169090
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
Specialties & taxonomies
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
4000 Ne Spectrum Drive
Ankeny, IA 50021
Phone: (515) 686-8719
Fax: (515) 686-8710
Street-level locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1630
- Doing business as
- Costco Pharmacy #1630
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Costco Wholesale Corporation's NPI number?
- Costco Wholesale Corporation's National Provider Identifier (NPI) is 1164169090, 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 4000 Ne Spectrum Drive, Ankeny, IA 50021.
- What is Costco Wholesale Corporation's phone number?
- The practice phone number listed in the NPPES registry for Costco Wholesale Corporation is (515) 686-8719.
- Who is the authorized official for Costco Wholesale Corporation?
- The authorized official listed on Costco Wholesale Corporation's NPPES record is Richard Stephens, Svp Pharmacy. 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 (1164169090) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.