COSTCO WHOLESALE CORPORATION
NPI 1255414397
Pharmacy - Community/Retail Pharmacy in Fontana, CA

Active since October 23, 2006
16505 SIERRA LAKES PKWY, FONTANA, CA 92336(909) 770-5648(909) 770-5645 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2025, Jul 23, 2018 (2 updates tracked since 2018).

About Costco Wholesale Corporation NPPES

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

COSTCO WHOLESALE CORPORATION (NPI 1255414397) is a healthcare organization registered as a community/retail pharmacy in Fontana, California and active in the NPI registry since October 2006. The organization lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1255414397
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address16505 SIERRA LAKES PKWYFontana, CA 92336
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595
Fax(909) 770-5645
Organization SubpartNo
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1255414397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · PHY48304
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.

16505 SIERRA LAKES PKWY, Fontana, CA 92336

Other Identifiers 1

Other5624247Ncpdp Provider Identification Number

Accepted Insurance

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.
68 services67 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.
58 services58 patients

Other Providers at the Same Location NPPES 6

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

Hearing Aid Equipment
16505 SIERRA LAKES PKWY
FONTANA, CA 92336
Eyewear Supplier
16505 SIERRA LAKES PKWY
FONTANA, CA 92336
Pharmacist
16505 SIERRA LAKES PKWY
FONTANA, CA 92336
Pharmacist
16505 SIERRA LAKES PKWY
FONTANA, CA 92336
Pharmacist
16505 SIERRA LAKES PKWY
FONTANA, CA 92336
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
16505 SIERRA LAKES PKWY
FONTANA, CA 92336

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 1255414397. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 16505 Sierra Lakes Pkwy, Fontana, CA 92336. The listed phone number is (909) 770-5648.

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 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.