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 1245512664

Costco Wholesale Corporation is a Community/Retail Pharmacy in Pewaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011

Practice location Address checks out

443 Pewaukee Rd
Pewaukee, WI 53072
Phone: (262) 956-6701
Fax: (262) 956-6702
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 9098-42 (WI)

Record details

NPI number1245512664
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1101
NPI enumeratedSeptember 12, 2011
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressPo Box 34300, Seattle, WA 98124

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