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 1922118546

Costco Wholesale Corporation is a Community/Retail Pharmacy in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006

Practice location Address checks out

5100 28th St SE
Grand Rapids, MI 49512
Phone: (616) 233-4428
Fax: (616) 233-4425
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 5301008027 (MI)

Record details

NPI number1922118546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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