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 1558748160

Costco Wholesale Corporation is a Community/Retail Pharmacy in New Berlin, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015

Practice location Address checks out

15300 W Grange Ave
New Berlin, WI 53151
Phone: (262) 599-7040
Fax: (262) 599-7031
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 9345-42 (WI)

Record details

NPI number1558748160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1212
NPI enumeratedMay 4, 2015
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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