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 1609986231

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

Licensed in
VA
In the registry since
2006

Practice location Address checks out

4725 W Ox Rd
Fairfax, VA 22030-6125
Phone: (703) 802-1229
Fax: (703) 332-3221
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 0201003261 (VA)

Record details

NPI number1609986231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 204
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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