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
Plus 1 secondary
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
1
In the 70% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2051 S Cole Rd
Boise, ID 83709
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard B Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Jill Lance Pharmacist NPI 1881985836
- Scott Lewis, O.D. Optometrist NPI 1255324299
- John Pitman, OD Optometrist NPI 1568640423
- Philip Rainey, OD Optometrist NPI 1437346483
- Bruce Stanger, RPH Pharmacist NPI 1730471319
- Joni Waldram, PHARMD Pharmacist NPI 1942591649
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...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2020950 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Pharmacy 761
Practice context
Multi-provider organization. 6 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.