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COSTCO WHOLESALE CORPORATION
NPI 1891140091
Pharmacy - Community/Retail Pharmacy in La Vista, NE

Active since April 26, 2016
12515 PORTSIDE PKWY, LA VISTA, NE 68128(402) 378-7408(402) 378-7399 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Nov 16, 2016, Sep 21, 2016 (3 updates tracked since 2016).

About Costco Wholesale Corporation NPPES

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

COSTCO WHOLESALE CORPORATION (NPI 1891140091), doing business as Costco Pharmacy #1237, is a healthcare organization registered as a community/retail pharmacy in La Vista, Nebraska and active in the NPI registry since April 2016. The organization lists Richard Stephens, Agmm Third Party, as its authorized official.

NPPES Registry Identity

NPI1891140091
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address12515 PORTSIDE PKWYLa Vista, NE 68128-8224
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 416-5259
Phone(402) 378-7408
Fax(402) 378-7399
Organization SubpartNo
Authorized OfficialRichard StephensAgmm Third Party · (425) 313-8259
Enumeration DateApril 26, 2016
Last NPPES UpdateMay 27, 20253 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1891140091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NE · 678
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.

Also ListedPharmacyTaxonomy 333600000X
12515 PORTSIDE PKWY, La Vista, NE 68128
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Other Names 1

Doing Business AsCostco Pharmacy #1237

Other Identifiers 1

Other2163917Pk

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 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.
214 services212 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.
205 services205 patients

Other Providers at the Same Location NPPES 2

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

COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
12515 PORTSIDE PKWY
LA VISTA, NE 68128
Sarpy County (425) 313-8100
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
12515 PORTSIDE PKWY
LA VISTA, NE 68128
Sarpy County (425) 313-8100

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 1891140091. It was assigned to this organization in the NPPES registry on April 26, 2016. The provider is doing business as Costco Pharmacy #1237.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 12515 Portside Pkwy, La Vista, NE 68128. The listed phone number is (402) 378-7408.

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 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.