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 1184976508

Costco Wholesale Corporation is a Community/Retail Pharmacy in East Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

301 W Washington St
East Peoria, IL 61611
Phone: (309) 427-2931
Fax: (309) 427-2932
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 054018048 (IL)

Record details

NPI number1184976508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedOctober 9, 2012
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address999 Lake Dr, Issaquah, WA 98027-8990