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 1417067042

Costco Wholesale Corporation is a Community/Retail Pharmacy in Melville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

625 Broadhollow Rd
Melville, NY 11747
Phone: (631) 293-8154
Fax: (631) 927-2007
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 025231 (NY)

Record details

NPI number1417067042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300