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COSTCO PHARMACY #1703
NPI 1083454177
Pharmacy - Community/Retail Pharmacy in Ridgefield, WA

Active since May 28, 2024CLIA 50D2312171 · Waiver
519A NORTH 56TH PLACE, RIDGEFIELD, WA 98642(360) 727-8411(360) 727-8402 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Costco Pharmacy #1703 NPPES

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

COSTCO PHARMACY #1703 (NPI 1083454177) is a healthcare organization registered as a community/retail pharmacy in Ridgefield, Washington and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1083454177
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address519A NORTH 56TH PLACERidgefield, WA 98642-3500
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 416-1294 · Fax (425) 313-6595
Phone(360) 727-8411
Fax(360) 727-8402
Organization SubpartNo
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateMay 28, 2024
Last NPPES UpdateAugust 6, 2024
NPPES CertifiedAugust 6, 2024
✔ NPI 1083454177 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.
519A NORTH 56TH PLACE, Ridgefield, WA 98642
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Other Names 1

Doing Business AsCostco Pharmacy #1703

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 50D2312171

Costco Pharmacy #1703 · Ridgefield, WA
Active · expires Apr 4, 2028
CLIA Number50D2312171
Laboratory TypePharmacy
Certificate Effective DateOctober 4, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRebekah M. Dant
Laboratory Phone(360) 727-8409
Laboratory LocationCostco Pharmacy #1703519 N 56th Pl Bldg A, Ridgefield, WA 98642
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
122 services122 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.
121 services121 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 1083454177. It was assigned to this organization in the NPPES registry on May 28, 2024. The provider is doing business as Costco Pharmacy #1703.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 519A North 56th Place, Ridgefield, WA 98642. The listed phone number is (360) 727-8411.

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 50D2312171) is associated with this NPI, valid through April 4, 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 47 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 August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.