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COSTCO PHARMACY #1620
NPI 1073250908
Pharmacy - Community/Retail Pharmacy in Queen Creek, AZ

Active since May 12, 2022CLIA 49D1001135 · Waiver
20260 S. ELLSWORTH RD, QUEEN CREEK, AZ 85142(480) 847-1010(480) 847-1001 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2023, May 12, 2022 (2 updates tracked since 2022).

About Costco Pharmacy #1620 NPPES

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

COSTCO PHARMACY #1620 (NPI 1073250908) is a healthcare organization registered as a community/retail pharmacy in Queen Creek, Arizona and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1073250908
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address20260 S. ELLSWORTH RDQueen Creek, AZ 85142
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-8100
Phone(480) 847-1010
Fax(480) 847-1001
Organization SubpartYes
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateMay 12, 2022
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1073250908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.

20260 S. ELLSWORTH RD, Queen Creek, AZ 85142
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Other Names 1

Doing Business AsCostco Pharmacy #1620

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 ›

CLIA Laboratory Certificates CMS CLIA

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 49D1001135

Costo Pharmacy #218 · Sterling, VA
Active · expires Jul 1, 2028
CLIA Number49D1001135
Laboratory TypePharmacy
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(425) 313-8100
Laboratory LocationCosto Pharmacy #21821398 Price - Cascades Plaza, Sterling, VA 20164
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
207 services207 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.
201 services201 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.
15 services15 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.
15 services15 patients

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 1073250908. It was assigned to this organization in the NPPES registry on May 12, 2022. The provider is doing business as Costco Pharmacy #1620.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 20260 S. Ellsworth Rd, Queen Creek, AZ 85142. The listed phone number is (480) 847-1010.

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.

Does Costco Wholesale Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1001135) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Costco Wholesale Corporation accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 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 November 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.