NPI age
19 years
Enumerated 2006-08-30
● 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
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
3980 Venture Dr
Duluth, GA 300965077
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Avp Pharmacy
📞 4253138259
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Timothy Blanck, PHARMD Pharmacist NPI 1609151240
- Binh Duong, PHARMD Pharmacist NPI 1124526645
- Patrick Flores, O.D. Optometrist NPI 1124194949
- Danny Hason, PHARM.D. Pharmacist NPI 1710263215
- Irina Khiyayeva Pharmacist NPI 1447952171
- Leandro Mijos Pharmacist NPI 1063186252
- Floyd Rivera Pharmacist NPI 1154607786
- Terry White Pharmacist NPI 1598048746
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 | 1143180 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
COSTCO PHARMACY # 187
Practice context
Multi-provider organization. 8 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 1965 Pharmacy providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- 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.