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 1114037728

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

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1900 Santa Rosa Ave
Santa Rosa, CA 95407-7621
Phone: (707) 578-1711
Fax: (707) 578-6287
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 PHY41310 (CA)

Record details

NPI number1114037728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 41
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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