OrganizationActive
Costco Wholesale Corporation
NPI 1245623677 · Community/Retail Pharmacy · Wichita, KS
Provider details
- NPI number
- 1245623677
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Avp-Pharmacy Services(425) 313-8259
- License
- 2-13169 (KS)
Specialties & taxonomies
Suppliers
Practice location
9700 E. Kellogg
Wichita, KS 67207
Phone: (316) 226-7152
Fax: (316) 226-7143
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1200
Registry dates
- Enumerated
- 2015-03-10
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.