MEDICARE: COSTCO WHOLESALE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1164167540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COSTCO WHOLESALE CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 34300
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1300
Country	:	US
Telephone Number	:	425-313-8100
Fax Number	:

Provider Business Practice Location Address
First Line	:	8685 OLIVE BLVD
Second Line	:
City	:	UNIVERSITY CITY
State	:	MO
Zip	:	63132
Country	:	US
Telephone Number	:	314-219-5209
Fax Number	:	314-219-5270

Authorized Official
Title or Position	:	SVP PHARMACY
Name	:	RICHARD STEPHENS
Credential	:
Telephone Number	:	425-313-8259

Provider Enumeration Date	:	05/01/2022
Last Update Date	:	05/28/2025

Similar Medicare Providers

1538278619 — DR. RICHARD PAUL LAMBERT DMD
Practice Location Address:

620A N MCKNIGHT RD , SUITE 2A
UNIVERSITY CITY, MO
63132

Practice Phone: 314-432-5988
Practice Fax: 314-432-2074

1942408869 — DR. DAVID RAYMOND SMITH O.D.
Practice Location Address:

8685 OLIVE BOULEVARD
UNIVERSITY CITY, MO
63132-6313

Practice Phone: 314-219-5461
Practice Fax: 314-219-5464

1609511088 — COSTCO WHOLESALE CORPORATION
Practice Location Address:

8685 OLIVE BLVD
UNIVERSITY CITY, MO
63132

Practice Phone: 425-313-8100
Practice Fax:

1063157444 — COSTCO WHOLESALE CORPORATION
Practice Location Address:

8685 OLIVE BLVD
UNIVERSITY CITY, MO
63132

Practice Phone: 425-313-8100
Practice Fax:

1932405792 — RIVKA GOLDENHERSH DMD
Practice Location Address:

819 UNIVERSITY PL
SAINT LOUIS, MO
63132-5021

Practice Phone: 314-918-5921
Practice Fax:

1538309927 — ADVANTAGE NURSING SERVICES, INC
Practice Location Address:

7501 N UNIVERSITY ST STE 119
PEORIA, IL
61614-1247

Practice Phone: 309-694-1501
Practice Fax: 314-524-0909

Directions to “COSTCO WHOLESALE CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.