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COSTCO WHOLESALE CORPORATION
NPI 1164169090
Pharmacy - Community/Retail Pharmacy in Ankeny, IA

Active since May 12, 2022
4000 NE SPECTRUM DRIVE, ANKENY, IA 50021(515) 686-8719(515) 686-8710 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, May 12, 2022 (2 updates tracked since 2022).

About Costco Wholesale Corporation NPPES

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

COSTCO WHOLESALE CORPORATION (NPI 1164169090), doing business as Costco Pharmacy #1630, is a healthcare organization registered as a community/retail pharmacy in Ankeny, Iowa and active in the NPI registry since May 2022. The organization lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1164169090
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address4000 NE SPECTRUM DRIVEAnkeny, IA 50021
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-8100
Phone(515) 686-8719
Fax(515) 686-8710
Organization SubpartYes
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateMay 12, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1164169090 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.
4000 NE SPECTRUM DRIVE, Ankeny, IA 50021
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Other Names 1

Doing Business AsCostco Pharmacy #1630

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 ›

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 1164169090. It was assigned to this organization in the NPPES registry on May 12, 2022. The provider is doing business as Costco Pharmacy #1630.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 4000 NE Spectrum Drive, Ankeny, IA 50021. The listed phone number is (515) 686-8719.

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.

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 48 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 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.