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 1104590991

Costco Wholesale Corporation is a Community/Retail Pharmacy in San Antonio, Texas. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

191 W Loop 1604 S
San Antonio, TX 78245-4191
Phone: (210) 868-6735
Fax: (210) 868-6726
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 number1104590991
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Svp · (425) 313-8259
Other names Costco Pharmacy #1449; Costco Pharmacy #1449
NPI enumeratedAugust 4, 2021
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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