NPI 1215877485 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Syracuse, UT. National Provider Identifier 1215877485, active.
NPI record
| NPI | 1215877485 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3151 W 1700 S, Syracuse, UT 84075 |
| Practice phone | 801-416-2323 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | March 30, 2026 |
| Last updated | July 24, 2026 |
| Authorized official | Richard Stephens, Svp Pharmacy |
| Other names | Costco Pharmacy # 1796 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.