NPI age
19 years
Enumerated 2006-08-30
● Active Type 2 · Organization
Costco Wholesale Corporation
Costco Wholesale Corporation is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephens
Svp
Last NPPES update
2024-05-14
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
19 years
↑ 4 yr above median
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
4301 W William Cannon Dr
Austin, TX 78749
Mailing address
Po Box 34300
Seattle, WA 981241300
Authorized official
Richard Stephens
Svp
📞 4253138259
Individual providers at this organization
14 individual providers on file at this primary practice address.
- John Butler Pharmacist NPI 1760814495
- Shelly Collins, OD Optometrist NPI 1235240425
- Priyal Desai Optometrist NPI 1104235134
- Jack Fan, DDS Dentist NPI 1831455955
- Silvana Gonzalez Manzur, DDS, MS Dentist NPI 1851554117
- Karen Lanciault, RPH Pharmacist NPI 1881458297
- Thomas Lee, OD Optometrist NPI 1780730333
- Tina Lin, LD Dietitian, Registered NPI 1124260161
- Elizabeth McClune, OD Optometrist NPI 1447215017
- Dan McQueen, OD Optometrist NPI 1881705069
- Kim Nguyen, OD Optometrist NPI 1841843802
- Linda Pak, O.D. Optometrist NPI 1255569372
- Stefanie Taing, OD Optometrist NPI 1740897958
- Michelle Thompson Behavior Analyst NPI 1427433770
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 | 4541163 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Costco Pharmacy #641
Practice context
Multi-provider organization. 14 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.