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 1386311280

Costco Wholesale Corporation is a Community/Retail Pharmacy in South Windsor, Connecticut. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1220 Tamarack Ave
South Windsor, CT 06074-5572
Phone: (860) 474-4041
Fax: (860) 474-4032
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 number1386311280
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Avp/Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1493; Costco Pharmacy #1493
NPI enumeratedAugust 27, 2021
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300