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 1205946837

Costco Wholesale Corporation is a Community/Retail Pharmacy in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

4885 27th Ave SE
Salem, OR 97306-6919
Phone: (503) 371-8739
Fax: (503) 371-0294
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 0001224 (OR)

Record details

NPI number1205946837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1492
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

Other providers in Salem