Costco Wholesale Corporation
NPI 1073079521ActiveOrganization· Pharmacy, Mail Order Pharmacy· Jeffersonville, IN
Pharmacy, Mail Order Pharmacy in Jeffersonville, Indiana, registered in NPPES in February 2019, part of Costco Wholesale Corporation. The authorized official on file is Richard Stephens, Svp/Pharmacy. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1073079521 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Costco Wholesale Corporation |
| NPI issued | Feb 20, 2019 |
| Last updated in NPPES | Feb 17, 2022 |
| Certified by provider | Feb 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Mail Order Pharmacy Primary | 3336M0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IN) |
|---|
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