NPI age
14 years
Enumerated 2011-09-12
● Active Type 2 · Organization
Costco Wholesale Corporation
Costco Wholesale Corporation is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephens
Avp Pharmacy
Last NPPES update
2025-05-27
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
14 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-09Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
825 Cabela Dr
Augusta, GA 309098202
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Avp Pharmacy
📞 4253138259
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1161734 | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 01 | 2131887 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
COSTCO Pharmacy # 1102
Practice context
Single-site organization. Only one practice location on file.
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