Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Community/Retail Pharmacy · NPI 1003476425

Costco Wholesale Corporation is a Community/Retail Pharmacy in Loves Park, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

5000 Stadium Dr
Loves Park, IL 61111
Phone: (779) 513-8407
Fax: (779) 513-8398
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1003476425
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1353; Costco Pharmacy #1353
NPI enumeratedJune 18, 2019
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300