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COSTCO PHARMACY/MAIL ORDER #1348
NPI 1073079521
Pharmacy - Mail Order Pharmacy in Jeffersonville, IN

Active since February 20, 2019CLIA Certified · 16 labs
260 LOGISTICS AVE STE B, JEFFERSONVILLE, IN 47130(800) 607-6861(877) 258-9584 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 17, 2022, Jan 11, 2021, Aug 14, 2019 and 1 more (4 updates tracked since 2019).

About Costco Pharmacy/mail Order #1348 NPPES

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

COSTCO PHARMACY/MAIL ORDER #1348 (NPI 1073079521) is a healthcare organization registered as a mail order pharmacy in Jeffersonville, Indiana and active in the NPI registry since February 2019. The organization holds 16 active CLIA laboratory certificates and lists Richard Stephens, Svp/pharmacy, as its authorized official.

NPPES Registry Identity

NPI1073079521
Entity TypeOrganization
Primary Taxonomy3336M0002X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address260 LOGISTICS AVE STE BJeffersonville, IN 47130-4672
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-8100
Phone(800) 607-6861
Fax(877) 258-9584
Organization SubpartYes
Authorized OfficialRichard StephensSvp/pharmacy · (425) 313-8259
Enumeration DateFebruary 20, 2019
Last NPPES UpdateFebruary 17, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2022
✔ NPI 1073079521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Mail Order PharmacySuppliers
Taxonomy Code3336M0002X
Definition

A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.

260 LOGISTICS AVE STE B, Jeffersonville, IN 47130
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Other Names 1

Doing Business AsCostco Pharmacy/mail Order #1348

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 16

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2043168

Costco Pharmacy #1123 · Sarasota, FL
Active · expires Jun 27, 2028
CLIA Number10D2043168
Laboratory TypePharmacy
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy #11238201 S Tamiami Trl Unit 501, Sarasota, FL 34238
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D1024522

Costco Pharmacy #337 · Leesburg, VA
Active · expires Apr 13, 2028
CLIA Number49D1024522
Laboratory TypePharmacy
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy #3371300 Edwards Ferry Road NE, Leesburg, VA 20176
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2265710

Costco Pharmacy #1588 · Lake Stevens, WA
Active · expires Apr 4, 2028
CLIA Number50D2265710
Laboratory TypePharmacy
Certificate Effective DateAugust 1, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy #15889210 24th St SE, Lake Stevens, WA 98258
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0993099

Costco Pharmacy # 202 · Norfolk, VA
Active · expires Nov 4, 2027
CLIA Number49D0993099
Laboratory TypePharmacy
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy # 202850 Glenrock Road, Norfolk, VA 23502
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0993100

Costco Pharmacy #247 · Newport News, VA
Active · expires Nov 4, 2027
CLIA Number49D0993100
Laboratory TypePharmacy
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy #24712121 Jefferson Avenue, Newport News, VA 23602
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D0993102

Costco Pharmacy # 225 · Manassas, VA
Active · expires Nov 4, 2027
CLIA Number49D0993102
Laboratory TypePharmacy
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCostco Pharmacy # 22510701 Suddley Manor Drive, Manassas, VA 20109
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Costco Pharmacy/Mail Order #1348 carries, from the Medicare DMEPOS supplier directory.

Costco Pharmacy/Mail Order #1348

DMEPOS supplier · Jeffersonville, INOperated by Costco Wholesale Corporation
✔

Accepts Medicare assignment

Costco Pharmacy/Mail Order #1348 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)34357400
Medicare Participant SinceJanuary 1, 2023
Supplier Location260 Logistics Ave Ste BJeffersonville, IN 47130
Phone(800) 607-6861
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

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

SAMUEL SHIK LEE
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (812) 850-2253
JESSICA LYNN ASAY PHARMD
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861
DANIELLE MCCAULEY PHARMD
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861
JASON HUMPHRESS PHARMD
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861
DONALD NEWTON
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861
MICHAEL GARY CROUCH PHARMD
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861
MRS. JENNIFER ROEHM RPH
Pharmacist
260 LOGISTICS AVE STE B
JEFFERSONVILLE, IN 47130
Clark County (800) 607-6861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1073079521. It was assigned to this organization in the NPPES registry on February 20, 2019.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 260 Logistics Ave Ste B, Jeffersonville, IN 47130. The listed phone number is (800) 607-6861.

What is Costco Wholesale Corporation's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Mail Order Pharmacy, with taxonomy code 3336M0002X.

Does Costco Wholesale Corporation accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Costco Pharmacy/Mail Order #1348 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Costco Wholesale Corporation hold CLIA laboratory certificates?

Yes. 16 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Costco Wholesale Corporation accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 38 other insurers list Costco Wholesale Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Costco Wholesale Corporation was last updated on February 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.