Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Costco Wholesale Corporation

Organization Community/Retail Pharmacy · NPI 1265054324

Costco Wholesale Corporation is a Community/Retail Pharmacy in Idaho Falls, Idaho. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2495 E Lincoln Rd
Idaho Falls, ID 83401-2203
Phone: (986) 497-3159
Fax: (986) 497-3150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1265054324
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1379; Costco Pharmacy #1379
NPI enumeratedMay 12, 2020
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 35005, Seattle, WA 98124-3405

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