{"npi":"1629188248","type":"NPI-2","status":"active","name":{"display":"Costco Wholesale Corporation","other":[],"organization_name":"COSTCO WHOLESALE CORPORATION","authorised_official":"Richard Stephens"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"NJ","license":"28RS00467300"}]},"addresses":[{"purpose":"LOCATION","street_1":"20 BRIDEWELL PL","city":"CLIFTON","state":"NJ","postal_code":"07014","country_code":"US","phone":"9737790189","fax":"9737790717"},{"purpose":"MAILING","street_1":"PO BOX 34300","city":"SEATTLE","state":"WA","postal_code":"981241300","country_code":"US","phone":"4253136670","fax":"4253136595"}],"license":{"state":"NJ","number":"28RS00467300"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"7547501","state":"NJ","issuer":null},{"type_code":"01","label":"Other","value":"3133232","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930052647","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"NJ","pac_id":"4082679451"}]},"enumeration_date":"2006-08-30","last_updated":"2025-05-22","_meta":{"source":"NPPES","snapshot_date":"2025-05-22","doc_url":"https://findmynpi.com/api"}}