SHOPKO STORES OPERATING CO., LLC (NPI# 1659744720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659744720 |
| Entity Type | Organization |
| Organization Name | SHOPKO STORES OPERATING CO., LLC |
| Other Organization Name | SHOPKO PHARMACY #2554 |
| Practice Address |
1203 N Main St Andrews TX 79714-3630 |
| Practice Telephone | 4325233302 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Authorized Official Name | LORIE NEUMANN (DIR 3D PARTY CONTRACT & CA) |
| Authorized Official Telephone | 9204294726 |
| 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 |
| Other Name | Type Code |
|---|---|
| Shopko Pharmacy #2554 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518320241 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 202 Susan Lawrence Drive, Ida Grove, IA 51445 | 2016-03-31 |
| 1801272182 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 471 Wine Country Road, Prosser, WA 99350 | 2015-08-10 |
| 1992181366 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 145 Broadway Ave N, Cokato, MN 55321 | 2015-08-07 |
| 1629452776 | Shopko Stores Operating Co., LLC | Pharmacy | 429 Michigan Ave, Orofino, ID 83544-0000 | 2015-07-17 |
| 1912398736 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 1026 S Challis St, Salmon, ID 83467-5441 | 2015-02-16 |
| 1225320419 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 106 Smith St, Bloomfield, IA 52537-2140 | 2011-05-06 |
| 1255864963 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | N2934 State Road 22, Wautoma, WI 54982-5267 | 2017-04-10 |
| 1003349101 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 100 County Road B, Shawano, WI 54166-7072 | 2017-04-05 |
| 1366828642 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 440 W Main St, Tremonton, UT 84337 | 2015-08-10 |
| 1699089995 | Shopko Stores Operating Co., LLC | Pharmacy | 1345 S Frederick Ave, Oelwein, IA 50662-3060 | 2010-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SHOPKO STORES OPERATING CO., LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Colorado Business Entities | ShopKo Stores Operating Co., LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Iowa Business Entities | SHOPKO STORES OPERATING CO., LLC | 700 Pilgrim Way, Green Bay, WI 54304 |
| Washington State Corporations | SHOPKO STORES OPERATING CO., LLC | 700 Pilgrim Way, Green Bay, WI 54304-5263 |
| Street Address |
1203 N MAIN ST |
| City | ANDREWS |
| State | TX |
| Zip Code | 79714-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578052346 | Britney Nicole Walker | Licensed Vocational Nurse | 350 Ne 1250, Andrews, TX 79714 | 2018-05-07 |
| 1114293065 | Donna Jean Rich | Nurse Practitioner | 413 Se 1st St, Andrews, TX 79714 | 2012-03-26 |
| 1578871794 | Drs E M Wright & Wright & Wright Optometrists PC | Optometrist | 1315 N Main Street, Andrews, TX 79714 | 2010-09-22 |
| 1801368311 | Rite Quality Pharmacy LLC | Pharmacy | 722 South Main Street, Andrews, TX 79714 | 2018-12-21 |
| 1518053149 | Satish Nayak | Clinic/Center | 706 Hospital Drive, Andrews, TX 79714 | 2006-10-04 |
| 1164486031 | Atul B Joshi | Orthopaedic Surgery | 3506 21st St, Suite 203, Lubbock, TX 79714 | 2006-04-17 |
| 1316329253 | Heather Danielle Vest | Counselor | 1309 Nw 14th St, Andrews, TX 79714-2607 | 2015-06-28 |
| 1457484602 | James Dale Martin | Pharmacist | 1401 Nw 7th St, Andrews, TX 79714-2801 | 2007-03-14 |
| 1336621341 | Litina Marie Griffin I | Registered Nurse | 1301 Nw 3rd St, Andrews, TX 79714-2826 | 2018-09-05 |
| 1376187625 | Wyvonee Norstun Goodwin | Registered Nurse | 200 Nw Avenue M Apt 216, Andrews, TX 79714-3524 | 2019-10-30 |
| Find all providers in zip 79714 | ||||
| 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 |
|---|---|---|---|---|
| 1861820896 | White Pine Land Company Inc | Pharmacy | 15 West Ashland Street, Andrews, SC 29510 | 2013-10-30 |
| 1003173097 | Friends Pharmacy LLC | Pharmacy | 801 N Main St Ste F, Andrews, TX 79714-4029 | 2012-04-16 |
| 1689730913 | White Pine Land Company Inc | Pharmacy | 15 W Ashland St, Andrews, SC 29510-2543 | 2006-12-29 |
| 1790760056 | Andrews Prescription Shop LLC | Pharmacy | 813 Hospital Dr, Andrews, TX 79714-3618 | 2005-12-09 |
| 1801368311 | Rite Quality Pharmacy LLC | Pharmacy | 722 South Main Street, Andrews, TX 79714 | 2018-12-21 |
| 1063593069 | Turner Discount Medicine Shoppe | Pharmacy | 451 Main St, Andrews, NC 28901 | 2006-10-17 |
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| 1629679717 | Edith Achebodt | Pharmacy | 2233 Avenue J Ste 103b, Arlington, TX 76006-5884 | 2020-11-04 |
| 1356942767 | Rxassist Pharmacy, Inc. | Pharmacy | 17020 Beaver Springs Dr Ste 8, Houston, TX 77090-2398 | 2020-11-03 |
| 1154921864 | Mbepe Health LLC | Pharmacy | 301 S 9th St Ste 121, Richmond, TX 77469-3448 | 2020-10-30 |
| 1639779366 | Mens African Investors | Pharmacy | 6355 S Peek Rd Ste 300, Katy, TX 77450-7195 | 2020-10-30 |
| 1861091977 | A Medizona Pharmacy | Pharmacy | 3700 Barker Cypress Rd, Suite 700, Houston, TX 77084 | 2020-10-20 |
| 1952900078 | Nudo Pharmacy LLC | Pharmacy | 104 Industrial Blvd Ste 201, Sugar Land, TX 77478-3174 | 2020-10-20 |
| 1194324277 | Rite Scripts Pharmacy Inc | Pharmacy | 13835 Westhollow Park Dr Apt 2805, Houston, TX 77082-1885 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| 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.