NPI age
19 years
Enumerated 2006-10-23
● 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
Svp Pharmacy
Last NPPES update
2025-05-22
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2900 Cumberland Mall Se
Atlanta, GA 30339
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Gerald Blakey Pharmacist NPI 1841668746
- Roshini Nagathil Pharmacist NPI 1356711790
- Rashida Norman, RPH Pharmacist NPI 1871842039
- Nikil Patel, O.D. Optometrist NPI 1528119245
- Meagan Taylor Pharmacist NPI 1073065470
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 | 1155046 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.