COSTCO WHOLESALE CORPORATION
NPI 1023128659
Pharmacy - Community/Retail Pharmacy in Clackamas, OR

Q: What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1023128659. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Costco Pharmacy # 97.

Q: What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 30, 2006

13130 SE 84TH AVE, CLACKAMAS, OR 97015(503) 794-5520(503) 794-5528 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Costco Wholesale Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSTCO WHOLESALE CORPORATION (NPI 1023128659), doing business as Costco Pharmacy # 97, is a healthcare organization registered as a community/retail pharmacy in Clackamas, Oregon and active in the NPI registry since August 2006. The organization lists Richard Stephens, Avp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1023128659

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCOSTCO WHOLESALE CORPORATION

Location Address13130 SE 84TH AVEClackamas, OR 97015-9733

Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595

Phone(503) 794-5520

Fax(503) 794-5528

Organization SubpartNo

Authorized OfficialRichard StephensAvp Pharmacy · (425) 313-8259

Enumeration DateAugust 30, 2006

Last NPPES UpdateMay 27, 2025

NPPES CertifiedMay 27, 2025

✔ NPI 1023128659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OR · 0001030

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

13130 SE 84TH AVE, Clackamas, OR 97015

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Other Names 1

Doing Business AsCostco Pharmacy # 97

Other Identifiers 1

Other3812585Ncpdp Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

333 services328 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

319 services319 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304

The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.

18 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

13 services13 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHRISTINE ELIZABETH KLAUSMAN RPH

Pharmacist