NPI age
15 years
Enumerated 2010-09-10
● 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
Svp Pharmacy
Last NPPES update
2025-05-20
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
15 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-09Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
500 Brookhaven Ave Ne
Atlanta, GA 30319
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Svp Pharmacy
📞 4253138259
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Susan Ayukokata Pharmacist NPI 1588948798
- Andrew Cook, PHARMD Pharmacist NPI 1750630950
- Elizabeth Kim, PHARMD Pharmacist NPI 1396022208
- Guy Wallace Pharmacist NPI 1003161639
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 | 1160314 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Practice context
Multi-provider organization. 4 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.