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 1013322296

Costco Wholesale Corporation is a Community/Retail Pharmacy in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2014.

Licensed in
UT
In the registry since
2014

Practice location Address checks out

3571 W 10400 S
South Jordan, UT 84095
Phone: (801) 523-5297
Fax: (801) 523-5288
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 9112581-1703 (UT)

Record details

NPI number1013322296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp - Pharmacy Services · (425) 313-8259
Other names Costco Pharmacy #1019
NPI enumeratedJune 25, 2014
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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