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

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

The NPI number for Costco Wholesale Corporation is 1922118546. It was assigned to this organization in the NPPES registry on August 30, 2006.

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.

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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 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.

NPPES Registry Identity

NPI1922118546

Entity TypeOrganization

Primary Taxonomy3336C0003X

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

Phone(616) 233-4428

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.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MI · 5301008027

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.

5100 28TH ST SE, Grand Rapids, MI 49512

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Other Identifiers 1

Other2366513Ncpdp 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 3

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.

140 services138 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.

133 services133 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.

15 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.

DR. SARAH KAY HANSEN O.D.

Optometrist