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 1164169090

Costco Wholesale Corporation is a Community/Retail Pharmacy in Ankeny, Iowa. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4000 NE Spectrum Dr
Ankeny, IA 50021
Phone: (515) 686-8719
Fax: (515) 686-8710
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 number1164169090
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1630; Costco Pharmacy #1630
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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