OrganizationActive
Costco
NPI 1164826772 · Health Service Clinic/Center · Mettawa, IL
Costco is a Health Service Clinic/Center organization in Mettawa, IL (NPI 1164826772).
Provider details
- NPI number
- 1164826772
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Lee, Pharmacist(773) 988-2479
- License
- 051295396 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
25901 N Riverwoods Rd
Mettawa, IL 60045-3403
Phone: (847) 235-1302
Street-level locationGet directions
Mailing address
1224 Inverrary Ln
Deerfield, IL 60015-3612
Registry dates
- Enumerated
- 2014-10-11
- Last updated
- 2014-10-11
Frequently asked questions
- What is Costco's NPI number?
- Costco's National Provider Identifier (NPI) is 1164826772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Costco?
- Costco is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Costco located?
- Costco's practice location on file with NPPES is 25901 N Riverwoods Rd, Mettawa, IL 60045-3403.
- What is Costco's phone number?
- The practice phone number listed in the NPPES registry for Costco is (847) 235-1302.
- Who is the authorized official for Costco?
- The authorized official listed on Costco's NPPES record is Angela Lee, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Costco's NPI active?
- Yes — Costco's NPI (1164826772) is active in the NPPES registry as of the last update on 2014-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.