NPI age
19 years
Enumerated 2006-08-30
● Active Type 2 · Organization
Costco Wholesale Corporation
Costco Wholesale Corporation is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephens
Svp Pharmacy
Last NPPES update
2023-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
355 E Neider Ave
Coeur D Alene, ID 83815
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard B Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Huy Bui, PHARM D Pharmacist NPI 1598540296
- Kelsi Butherus, O.D. Optometrist NPI 1174762389
- Roy Clapper, OD Optometrist NPI 1104934686
- John Gates, R.PH. Pharmacist NPI 1144592080
- Jean Hansen, PHARMACIST Pharmacist NPI 1548539240
- Angela Meerdink, RPH Pharmacist NPI 1003239021
- Mickayla Sampilo Pharmacist NPI 1770313751
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 | 1307429 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Pharmacy 773
Practice context
Multi-provider organization. 7 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.