Skip to content

Costco Wholesale Corporation

NPI 1689162810ActiveOrganization· Pharmacy· Mount Pleasant, SC

Pharmacy in Mount Pleasant, South Carolina, registered in NPPES in April 2018, part of Costco Wholesale Corporation. The authorized official on file is Richard Stephens, Svp Pharmacy. Medicare paid $96,648 for services to 418 patients in 2024.

Overview

NPI1689162810
StatusActive
Entity typeOrganization (subpart)
Parent organizationCostco Wholesale Corporation
NPI issuedApr 24, 2018
Last updated in NPPESMay 20, 2025
Certified by providerMay 20, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X—SC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients418
Services billed1,266 across 9 procedure codes
Paid by Medicare$96,648

Medicare sources and data years

Other Pharmacy providers in Mount Pleasant

All Pharmacy providers in South Carolina →