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 1114130002

Costco Wholesale Corporation is a Community/Retail Pharmacy in Tustin, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2700 Park Ave
Tustin, CA 92782-2708
Phone: (714) 338-1942
Fax: (714) 338-1936
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 48615 (CA)

Record details

NPI number1114130002
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 1001; Costco Pharmacy # 1001
NPI enumeratedMay 7, 2007
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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