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 1477663086

Costco Wholesale Corporation is a Community/Retail Pharmacy in Modesto, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

3801 Pelandale Ave
Modesto, CA 95356
Phone: (209) 342-4902
Fax: (209) 342-4909
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 PHY44762 (CA)

Record details

NPI number1477663086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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