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 1043320658

Costco Wholesale Corporation is a Community/Retail Pharmacy in Lake in the Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

250 N Randall Rd
Lake in the Hills, IL 60156
Phone: (847) 960-9937
Fax: (847) 960-9934
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 054015306 (IL)

Record details

NPI number1043320658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300