NPI age
6 years
Enumerated 2020-05-12
● Active Type 2 · Organization
Subpart
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
2025-05-16
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
6 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2495 E Lincoln Rd
Idaho Falls, ID 834012203
Mailing address
Po Box 35005
Seattle, WA 981243405
Authorized official
Richard Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Shane Withers, PHARMD, BCPS Pharmacist NPI 1336790567
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Pharmacy #1379
-
Costco Pharmacy #1379
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Costco Wholesale Corporation.
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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.