SHOPKO STORES OPERATING CO LLC


Address: 101 S Polk St, Albany, MO 64402-1617
Phone: 6607263154

SHOPKO STORES OPERATING CO LLC (NPI# 1437197415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437197415
Entity Type Organization
Organization Name SHOPKO STORES OPERATING CO LLC
Other Organization Name SHOPKO PHARMACY 707
Practice Address 101 S Polk St
Albany
MO 64402-1617
Practice Telephone 6607263154
Practice Fax Number 6607263167
Mailing Telephone 6607263154
Mailing Fax Number 6607263167
Enumeration Date 2006-06-03
Last Update Date 2013-02-18
Authorized Official Name MR. MICHAEL BETTIGA (EXECUTIVE VICE PRESIDENT & COO)
Authorized Official Telephone 9204294297
Authorized Official Credential RPH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MO 621586403 05
NCPDP 2635540 01
MO 601586407 05

Other Provider/Organization Names

Other Name Type Code
Shopko Pharmacy 707 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275017907 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 2018-09-19
1871076968 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 1810 Jackson St, Oshkosh, WI 54901-2204 2018-09-13
1427547082 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 10996 N Port Washington Rd, Mequon, WI 53092 2018-05-08
1912454505 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 908 Nw 6th St, Tulia, TX 79088 2016-09-01
1821545419 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 67 Selkirk Way, Oldtown, ID 83822 2016-09-01
1740736586 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 94 North 400 East, Delta, UT 84624 2016-08-31
1639625064 Shopko Stores Operating Co LLC Pharmacy 1001 N Center Ave, Hardin, MT 59034-1101 2016-08-26
1649726076 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 1635 E Highway 40, Ballard, UT 84066-5217 2016-08-26
1841745155 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 301 E Us Highway 20, Gordon, NE 69343-1650 2016-08-17
1821441205 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 6355 Main St, Bonners Ferry, ID 83805-8519 2016-07-20

Office Location

Street Address 101 S POLK ST
City ALBANY
State MO
Zip Code 64402-1617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699960286 Pamida Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 101 S Polk St, Albany, MO 64402-1617 2007-09-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821137266 Howell Place LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1304 East Howell St, Albany, MO 64402 2007-02-05
1790837318 Thomas Clinton Schneider Dentist 307 W Clay, Albany, MO 64402 2007-01-16
1245391028 State of Missouri Day Training, Developmentally Disabled Services 809 N 13th St, Albany, MO 64402 2006-12-13
1427603919 Northwest Health Services, Inc. Clinic/Center 101 W Jefferson St, Albany, MO 64402-1237 2019-08-02
1881725497 Tlc Care Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 402 W Jefferson St, Albany, MO 64402-1242 2007-03-07
1174966543 Albany Behavioral Health Services Community/Behavioral Health 115 N Smith St, Albany, MO 64402-1250 2013-04-16
1588973929 Mary-jennifer Elizabeth Quinley Counselor 113 N Smith St, Albany, MO 64402-1250 2010-10-04
1942768197 Kari A O'neal LLC Counselor 113 N Smith St, Albany, MO 64402-1250 2019-03-06
1467833707 Kari Ann Oneal Counselor 113 N Smith St, Albany, MO 64402-1250 2015-06-12
1134541659 Ssm Regional Health Services Ophthalmology 115 N Smith St, Albany, MO 64402-1250 2014-01-17
Find all providers in zip 64402

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972104354 Jrrx LLC Pharmacy 621 Hickory St Nw, Albany, OR 97321-1754 2020-11-03
1508331224 Hy Vee Inc Pharmacy 703 E Us Highway 136, Albany, MO 64402-8209 2018-10-09
1841770971 Albany Area Primary Health Care, Inc. Pharmacy 1712 E Broad Ave Ste A, Albany, GA 31705-2611 2018-08-17
1093214074 Walgreen Co Pharmacy 33 New Scotland Ave Ste 106, Albany, NY 12208-3560 2018-02-06
1386031334 Forteen Star Enterprises Inc Pharmacy 65 Central Ave, Albany, NY 12206-3054 2015-04-16
1033557814 Walgreen Co Pharmacy 2200 E Oglethorpe Blvd Ste A, Albany, GA 31705-3084 2013-06-13
1285973313 Roberts' Pharmacy LLC Pharmacy 190 Westview Shopping Ctr, Albany, KY 42602-1600 2013-02-09
1477891893 Town Total Health LLC Pharmacy 728 Madison Ave Ste B1, Albany, NY 12208-3302 2013-01-18
1336425164 Shoprite Supermarkets, Inc Pharmacy 709 Central Ave, Albany, NY 12206-1601 2011-10-25
1699001636 Sander's Drug Store Pharmacy 104 South Main St., Albany, TX 76430-8054 2009-10-27
Find all providers in ALBANY

Competitor

Search similar providers

City ALBANY
Zip Code 64402

Improve Information

Please comment or provide details below to improve the information on SHOPKO STORES OPERATING CO LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches