COSTCO WHOLESALE CORPORATION
NPI 1316057912
Pharmacy - Community/Retail Pharmacy in San Leandro, CA

Active since August 30, 2006
1900 DAVIS ST, SAN LEANDRO, CA 94577(510) 562-6815(510) 562-5194 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Costco Wholesale Corporation NPPES

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

COSTCO WHOLESALE CORPORATION (NPI 1316057912), doing business as Costco Pharmacy # 118, is a healthcare organization registered as a community/retail pharmacy in San Leandro, California and active in the NPI registry since August 2006. The organization lists Richard Stephens, Avp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1316057912
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address1900 DAVIS STSan Leandro, CA 94577-1209
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595
Fax(510) 562-5194
Organization SubpartNo
Authorized OfficialRichard StephensAvp Pharmacy · (425) 313-8259
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 23, 2025
NPPES CertifiedMay 23, 2025
NPI 1316057912 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 · PHY41403
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.

1900 DAVIS ST, San Leandro, CA 94577

Other Names 1

Doing Business AsCostco Pharmacy # 118

Other Identifiers 1

Other0554142Ncpdp Provider Identification Number

Accepted Insurance

Areas of Expertise CMS Part B claims 6

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.
364 services356 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.
329 services329 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.
28 services28 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.
28 services28 patients
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage 90694
The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.
17 services17 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
13 services13 patients

Other Providers at the Same Location NPPES 10

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

Pharmacist
1900 DAVIS ST
SAN LEANDRO, CA 94577
Pharmacist
1900 DAVIS ST
SAN LEANDRO, CA 94577
Pharmacist
1900 DAVIS ST
SAN LEANDRO, CA 94577
Optometrist
1900 DAVIS ST
SAN LEANDRO, CA 94577
Hearing Aid Equipment
1900 DAVIS ST
SAN LEANDRO, CA 94577
Eyewear Supplier
1900 DAVIS ST
SAN LEANDRO, CA 94577
Optometrist
1900 DAVIS ST
SAN LEANDRO, CA 94577
Optometrist
1900 DAVIS ST
SAN LEANDRO, CA 94577

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 1316057912. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Costco Pharmacy # 118.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 1900 Davis St, San Leandro, CA 94577. The listed phone number is (510) 562-6815.

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 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.