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Costco Wholesale Corporation — NPI 1164169090, Ankeny, IA | NPI Central

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NPI 1164169090

OrganizationActive

Costco Wholesale Corporation

NPI 1164169090 · Community/Retail Pharmacy · Ankeny, IA

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

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

4000 Ne Spectrum Drive

Ankeny, IA 50021

Phone: (515) 686-8719

Fax: (515) 686-8710

Approximate (ZIP-level) locationGet directions

More IA providers

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

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.