Costco Pharmacy #669 – Community/Retail Pharmacy, NPI 1093825622
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Costco Pharmacy #669
PO BOX 34300
SEATTLE, WA 981241300
Phone: (425) 313-6670
Fax: (425) 313-6595
Type: Mailing
Costco, 2601, East State Highway 114, Southlake, Tarrant County, Texas, 76092, United States
SOUTHLAKE, TX 76092
Phone: (817) 749-2802
Fax: (817) 749-2820
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 299 | 44 | $0 |
| G0008 | Administration of influenza virus vaccine | 255 | 255 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 255 | 255 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 158 | 158 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 81 | 81 | $0 |
Insurance plans in this area (ZIP 98124)
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