COSTCO WHOLESALE CORPORATION
NPI 1942980974
Pharmacy - Community/Retail Pharmacy in Clermont, FL

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

The NPI number for Costco Wholesale Corporation is 1942980974. It was assigned to this organization in the NPPES registry on July 24, 2023.

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 July 24, 2023CLIA 10D2291200 · Waiver

4600 COLLINA TERRACE, CLERMONT, FL 34711(689) 407-3673(689) 407-3664 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2023, Aug 22, 2023, Jul 24, 2023 (3 updates tracked since 2023).

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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 1942980974) is a healthcare organization registered as a community/retail pharmacy in Clermont, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Richard Stephens, Svp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1942980974

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCOSTCO WHOLESALE CORPORATION

Location Address4600 COLLINA TERRACEClermont, FL 34711-7204

Mailing AddressPo Box 34300Seattle, WA 98124-1300 · (254) 416-2829 · Fax (425) 313-6595

Phone(689) 407-3673

Fax(689) 407-3664

Organization SubpartYes

Authorized OfficialRichard StephensSvp Pharmacy · (425) 313-8259

Enumeration DateJuly 24, 2023

Last NPPES UpdateOctober 13, 20233 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1942980974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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.

4600 COLLINA TERRACE, Clermont, FL 34711

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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2291200

Costco Wholesale Corporation · Clermont, FL

Active · expires Oct 5, 2027

CLIA Number10D2291200

Laboratory TypePharmacy

Certificate Effective DateOctober 6, 2025

Certificate Expiration DateOctober 5, 2027

Laboratory DirectorJodi L. Carlson

Laboratory Phone(689) 407-3673

Laboratory LocationCostco Wholesale Corporation4600 Collina Terrace, Clermont, FL 34711

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

94 services94 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.

90 services90 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.

11 services11 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.

11 services11 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

Eyewear Supplier

4600 COLLINA TERRACE
CLERMONT, FL 34711

Lake County (689) 407-3663

COSTCO WHOLESALE CORPORATION

Hearing Aid Equipment

4600 COLLINA TERRACE
CLERMONT, FL 34711

Lake County (689) 407-3663

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 1942980974. It was assigned to this organization in the NPPES registry on July 24, 2023.

Where is Costco Wholesale Corporation located?

Costco Wholesale Corporation is located at 4600 Collina Terrace, Clermont, FL 34711. The listed phone number is (689) 407-3673.

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.

Does Costco Wholesale Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2291200) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.