NPI 1255124269 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Las Vegas, NV. National Provider Identifier 1255124269, active.
NPI record
| NPI | 1255124269 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 6880 S Buffalo Dr, Las Vegas, NV 89113 |
| Practice phone | 725-332-8743 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | May 23, 2025 |
| Last updated | July 30, 2025 |
| Authorized official | Richard Stephens, Svp Pharmacy |
| Other names | Costco Pharmacy #1709 |
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.