Costco Wholesale Corporation
NPI 1891140091 · Community/Retail Pharmacy · La Vista, NE
Costco Wholesale Corporation is a Community/Retail Pharmacy organization in La Vista, NE (NPI 1891140091).
Provider details
- NPI number
- 1891140091
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Agmm Third Party(425) 313-8259
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 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
403 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 | 214 | $29 |
| Admn Sarscov2 Vacc 1 Dose90480 | 189 | $38 |
Typical Medicare-allowed amounts for these services range $29–$38 (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 #1237
Registry dates
- Enumerated
- 2016-04-26
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Frequently asked questions
- What is Costco Wholesale Corporation's NPI number?
- Costco Wholesale Corporation's National Provider Identifier (NPI) is 1891140091, 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 12515 Portside Pkwy, La Vista, NE 68128-8224.
- What is Costco Wholesale Corporation's phone number?
- The practice phone number listed in the NPPES registry for Costco Wholesale Corporation is (402) 378-7408.
- Who is the authorized official for Costco Wholesale Corporation?
- The authorized official listed on Costco Wholesale Corporation's NPPES record is Richard Stephens, Agmm Third Party. 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 (1891140091) is active in the NPPES registry as of the last update on 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.