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 1053421651

Costco Wholesale Corporation is a Community/Retail Pharmacy in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

11800 4th St
Rancho Cucamonga, CA 91730
Phone: (909) 581-1702
Fax: (909) 581-1721
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 45772 (CA)

Record details

NPI number1053421651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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