COSTCO WHOLESALE CORPORATION
NPI 1922118546
Pharmacy - Community/Retail Pharmacy in Grand Rapids, MI

Active since August 30, 2006
5100 28TH ST SE, GRAND RAPIDS, MI 49512(616) 233-4428(616) 233-4425 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2025, Jul 24, 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 1922118546) is a healthcare organization registered as a community/retail pharmacy in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization lists Richard Stephens, Svp Pharmacy, as its authorized official.Information from the official NPPES registry record, last updated May 21, 2025.

NPPES Registry Identity

NPI1922118546
Entity TypeOrganization
Legal Business NameCOSTCO WHOLESALE CORPORATION
Location Address5100 28TH ST SEGrand Rapids, MI 49512
Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (425) 313-6670 · Fax (425) 313-6595
Fax(616) 233-4425
Organization SubpartNo
Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1922118546 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

Licensed in MI · 5301008027

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;… Show more

5100 28TH ST SE, Grand Rapids, MI 49512

Also on File with NPPES

Other Identifiers1
2366513 (Other, Ncpdp Provider Identification Number)

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 140 times for 138 patients

Influenza vaccine, inactivated

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.

This service was performed 133 times for 133 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

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.

This service was performed 15 times for 14 patients

Reviews for COSTCO WHOLESALE CORPORATION

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Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Hearing Aid Equipment
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Pharmacist
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Eyewear Supplier
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Clinic/Center (Corporate Health)
5100 28TH ST SE
GRAND RAPIDS, MI 49512
Optometrist
5100 28TH ST SE
GRAND RAPIDS, MI 49512

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922118546, enumerated as an "organization" on August 30, 2006.

The provider is located at 5100 28TH ST SE GRAND RAPIDS, MI 49512 and the phone number is (616) 233-4428.

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

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