Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Mail Order Pharmacy · NPI 1619735636

Costco Wholesale Corporation is a Mail Order Pharmacy in Madison, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

310 Integrity Dr Ste 105
Madison, WI 53717-1416
Phone: (855) 213-0070
Fax: (855) 213-0125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X
Mail Order Pharmacy Taxonomy 3336M0002X

Record details

NPI number1619735636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1710; Costco Pharmacy #1710
NPI enumeratedMarch 13, 2024
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing addressPo Box 34300, Seattle, WA 98124-1300