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COSTCO PHARMACY #1322
NPI 1114415213
Pharmacy - Community/Retail Pharmacy in Pflugerville, TX

Active since April 25, 2018CLIA 49D1001135 · Waiver
1901 KELLY LANE, PFLUGERVILLE, TX 78660(737) 888-6047(737) 888-6038 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 14, 2024, Nov 7, 2021, Apr 25, 2018 (3 updates tracked since 2018).

About Costco Pharmacy #1322 NPPES

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

COSTCO PHARMACY #1322 (NPI 1114415213) is a healthcare organization registered as a community/retail pharmacy in Pflugerville, Texas and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Richard Stephens, Svp, as its authorized official.

NPPES Registry Identity

NPI1114415213
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address1901 KELLY LANEPflugerville, TX 78660
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-8100
Phone(737) 888-6047
Fax(737) 888-6038
Organization SubpartYes
Authorized OfficialRichard StephensSvp · (425) 313-8259
Enumeration DateApril 25, 2018
Last NPPES UpdateMay 14, 20243 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1114415213 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.
1901 KELLY LANE, Pflugerville, TX 78660
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Other Names 1

Doing Business AsCostco Pharmacy #1322

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 Arkansas Health & Wellness 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 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.
104 services104 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.
98 services98 patients

Other Providers at the Same Location NPPES 3

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

COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
1901 KELLY LANE
PFLUGERVILLE, TX 78660
Travis County (425) 313-8100
DR. HERBERT FISHER III PHARMD
Pharmacist
1901 KELLY LANE
PFLUGERVILLE, TX 78660
Travis County (737) 888-6047
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
1901 KELLY LANE
PFLUGERVILLE, TX 78660
Travis County (425) 313-8100

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 1114415213. It was assigned to this organization in the NPPES registry on April 25, 2018. The provider is doing business as Costco Pharmacy #1322.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 1901 Kelly Lane, Pflugerville, TX 78660. The listed phone number is (737) 888-6047.

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 from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan 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 May 14, 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.