| NPI | 1114390671 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-11-05 |
| Last Updated | 2025-05-20 |
| Authorized Official | Richard Stephens SVP PHARMACY Phone: 4253138259 |
| Mailing Address | Po Box 34300 Seattle, WA 98124-1300 United States Phone: (425) 416-5259 📍 View Map |
| Primary Practice Address | 6720 Bass Pro Rd Boston Heights, OH 44236 United States Phone: (330) 341-7010 | Fax: (330) 341-7001 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | — | 2159814 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | — | — |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | OH | RTPC.022618850-03 |
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About NPI 1114390671
Costco Wholesale Corporation is an organization registered in the CMS NPPES NPI Registry with NPI number 1114390671. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Boston Heights, OH. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-11-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114390671?
NPI 1114390671 belongs to Costco Wholesale Corporation, a Pharmacy, Community/Retail Pharmacy in Boston Heights, OH. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114390671 active?
The current status of NPI 1114390671 in the NPPES registry is Active. The record was last updated on 2025-05-20.
What specialty is NPI 1114390671?
NPI 1114390671 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114390671?
You can verify NPI 1114390671 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114390671?
The primary practice address on file for NPI 1114390671 is 6720 Bass Pro Rd, Boston Heights, OH 44236. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114390671 issued?
NPI 1114390671 was first issued (enumerated) on 2015-11-05. The NPPES record was last updated on 2025-05-20.
Practice Location Map
Costco Wholesale Corporation is located at 6720 Bass Pro Rd, Boston Heights, OH. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Costco Wholesale Corporation. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114390671. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | RTPC.022618850-03 | OH |