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COSTCO WHOLESALE CORPORATION
NPI 1568779684
Pharmacy - Community/Retail Pharmacy in Atlanta, GA

Active since September 10, 2010
500 BROOKHAVEN AVE NE, ATLANTA, GA 30319(404) 460-1924(404) 460-1921 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 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 1568779684) is a healthcare organization registered as a community/retail pharmacy in Atlanta, Georgia and active in the NPI registry since September 2010. The organization lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1568779684
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address500 BROOKHAVEN AVE NEAtlanta, GA 30319
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595
Phone(404) 460-1924
Fax(404) 460-1921
Organization SubpartNo
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateSeptember 10, 2010
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1568779684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE009700
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.

500 BROOKHAVEN AVE NE, Atlanta, GA 30319
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Other Identifiers 1

Other1160314Ncpdp Provider Identification Number

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 ›

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
224 services221 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.
215 services215 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.
24 services23 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.
14 services14 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.
14 services14 patients

Other Providers at the Same Location NPPES 11

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

SUSAN OTANG AYUKOKATA
Pharmacist
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319
Dekalb County (404) 460-1924
ELIZABETH YEONHWA KIM PHARMD
Pharmacist
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319
Dekalb County (404) 460-1924
GUY WALLACE
Pharmacist
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319
Dekalb County (404) 460-1924
ANDREW COOK PHARMD
Pharmacist
500 BROOKHAVEN AVE NE
ATLANTA, GA 30319
Dekalb County (404) 460-1924
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
500 BROOKHAVEN AVE NE
BROOKHAVEN, GA 30319
Dekalb County (770) 431-1724
SING CHHAY
Pharmacist
500 BROOKHAVEN AVE NE
BROOKHAVEN, GA 30319
Dekalb County (404) 460-1924
MARIO ABNER SALAZAR JACOB PHARMD
Pharmacist
500 BROOKHAVEN AVE NE
BROOKHAVEN, GA 30319
Dekalb County (404) 460-1924
DR. ROBERT JOHN BORSOM III PHARMD
Pharmacist
500 BROOKHAVEN AVE NE
BROOKHAVEN, GA 30319
Dekalb County (404) 460-1924

Frequently Asked Questions

What is COSTCO WHOLESALE CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1568779684, enumerated as an "organization" on September 10, 2010.

Where is the provider located?

The provider is located at 500 BROOKHAVEN AVE NE ATLANTA, GA 30319 and the phone number is (404) 460-1924.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does COSTCO WHOLESALE CORPORATION accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.