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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 621586403 | 05 | |
NCPDP | 2635540 | 01 | |
MO | 601586407 | 05 |
Other Name | Type Code |
---|---|
Shopko Pharmacy 707 | Doing Business As Name - Organization |
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 |
Street Address |
101 S POLK ST |
City | ALBANY |
State | MO |
Zip Code | 64402-1617 |
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 |
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 Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
Please comment or provide details below to improve the information on SHOPKO STORES OPERATING CO LLC.
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.