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 1689221780

Costco Wholesale Corporation is a Community/Retail Pharmacy in East Lyme, Connecticut. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

284 Flanders Rd
East Lyme, CT 06333-1710
Phone: (860) 691-9657
Fax: (860) 691-9648
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1689221780
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Sr Vp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1372; Costco Pharmacy #1372
NPI enumeratedAugust 22, 2019
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300