Costco Wholesale Corporation
NPI 1801383153ActiveOrganization· Pharmacy· Ukiah, CA
Pharmacy in Ukiah, California, registered in NPPES in April 2018, part of Costco Wholesale Corporation. The authorized official on file is Richard Stephens, Svp Pharmacy. Medicare paid $132,166 for services to 491 patients in 2024.
Overview
| NPI | 1801383153 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Costco Wholesale Corporation |
| NPI issued | Apr 21, 2018 |
| Last updated in NPPES | May 22, 2025 |
| Certified by provider | May 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | CA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 491 |
|---|---|
| Services billed | 1,648 across 10 procedure codes |
| Paid by Medicare | $132,166 |
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