NPI age
5 years
Enumerated 2020-12-22
● Active Type 2 · Organization
Subpart
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
2025-05-28
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1715 Charles Hardy Pkwy
Dallas, GA 301573161
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Preston Smith, O.D. Optometrist NPI 1710485008
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 #1389
-
Costco Pharmacy #1389
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.