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 1467562090

Costco Wholesale Corporation is a Community/Retail Pharmacy in Ft Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006

Practice location Address checks out

5300 Overton Ridge Blvd
Ft Worth, TX 76132
Phone: (817) 210-0002
Fax: (817) 210-0009
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 020490 (TX)

Record details

NPI number1467562090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #489
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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