COSTCO WHOLESALE CORPORATION
NPI 1629309760
Pharmacy - Community/Retail Pharmacy in Pacoima, CA

Q: What is Costco Wholesale Corporation's NPI number?

The NPI number for Costco Wholesale Corporation is 1629309760. It was assigned to this organization in the NPPES registry on January 28, 2010.

Q: 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.

Active since January 28, 2010

13550 PAXTON ST, PACOIMA, CA 91331(818) 272-2709(818) 272-2706 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).

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About Costco Wholesale Corporation NPPES

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

COSTCO WHOLESALE CORPORATION (NPI 1629309760) is a healthcare organization registered as a community/retail pharmacy in Pacoima, California and active in the NPI registry since January 2010. The organization lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1629309760

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCOSTCO WHOLESALE CORPORATION

Location Address13550 PAXTON STPacoima, CA 91331

Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595

Phone(818) 272-2709

Fax(818) 272-2706

Organization SubpartNo

Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259

Enumeration DateJanuary 28, 2010

Last NPPES UpdateMay 20, 20252 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1629309760 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 · 50222

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.

13550 PAXTON ST, Pacoima, CA 91331

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Other Identifiers 1

Other5636901Ncpdp 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 4

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.

102 services101 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.

93 services93 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.

12 services12 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.

12 services12 patients

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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.

MARY ROCHELLE YU

Pharmacist