SHOPKO STORES OPERATING CO LLC (NPI# 1720112816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720112816 |
Entity Type | Organization |
Organization Name | SHOPKO STORES OPERATING CO LLC |
Other Organization Name | SHOPKO PHARMACY 687 |
Practice Address |
202 Sw Kent Greenfield IA 50849-0254 |
Practice Telephone | 6417432201 |
Practice Fax Number | 6417432203 |
Mailing Telephone | 6417432201 |
Mailing Fax Number | 6417432203 |
Enumeration Date | 2007-03-14 |
Last Update Date | 2013-04-18 |
Authorized Official Name | MR. MICHAEL BETTIGA (EXECUTUIVE 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 |
---|---|---|---|
IA | 0766279 | 05 |
Other Name | Type Code |
---|---|
Shopko Pharmacy 687 | 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 |
202 SW KENT |
City | GREENFIELD |
State | IA |
Zip Code | 50849-0254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659317865 | Robert A Weiland | Optometrist | 107 Ne 2nd Street, Greenfield, IA 50849 | 2006-06-22 |
1023386547 | Zion Recovery Services, Inc. | Clinic/Center | 132 Southeast Court Dr., Greenfield, IA 50849-0255 | 2011-12-12 |
1508987819 | Staci Jean Jones | Dietitian, Registered | 304 Nw 2nd St, Greenfield, IA 50849-1027 | 2007-04-03 |
1417024365 | Joshua Amyas Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2006-11-29 |
1346645546 | Rardin Chiropractic Pllc | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2014-10-30 |
1124152814 | Lisa Anne Rardin | Chiropractor | 112 Ne Hayes St, Greenfield, IA 50849-1048 | 2007-03-15 |
1053467159 | Support Services of South Central Iowa | Community/Behavioral Health | 306 Public Sq, Greenfield, IA 50849-1257 | 2007-01-25 |
1902333503 | Greater Regional Medical Center | Clinic/Center | 246 Public Sq, Greenfield, IA 50849-1258 | 2017-05-15 |
1588757991 | Verlin Hubert Hockett | Dentist | 242 Public Sq, Box 240, Greenfield, IA 50849-1258 | 2006-09-30 |
1811551393 | James D. Elliott Dds Pllc | Dentist | 242 Public Sq, Greenfield, IA 50849-1258 | 2019-04-30 |
Find all providers in zip 50849 |
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 |
---|---|---|---|---|
1093280513 | Hayat Pharmacy 6 LLC | Pharmacy | 5233 S 27th St Ste 101, Greenfield, WI 53221-3764 | 2018-10-11 |
1760838528 | Med Rx Pharmacy PC | Pharmacy | 108 S Front St, Greenfield, TN 38230-1925 | 2016-05-11 |
1265718977 | Walgreen Co | Pharmacy | 329 Conway St Ste 3, Greenfield, MA 01301 | 2011-10-26 |
1568750545 | Roundys Supermarkets Inc | Pharmacy | 4279 S 76th St, Greenfield, WI 53220-2804 | 2011-07-12 |
1770682130 | Cvs Pharmacy Inc | Pharmacy | 137 Federal St, Greenfield, MA 01301-2544 | 2006-09-22 |
1295838928 | Hook Superx LLC | Pharmacy | 1233 N State St, Greenfield, IN 46140-1056 | 2006-09-07 |
1184631061 | Walgreen Co | Pharmacy | 4296 S 76th St, Greenfield, WI 53220-2805 | 2006-08-02 |
1750788915 | Advanced Pain Management Sc | Pharmacy | 4131 W Loomis Rd, Suite 250, Greenfield, WI 53221-2057 | 2014-12-03 |
1316353626 | Hayat Pharmacy 6 LLC | Pharmacy | 4931 S 27th St Ste 400, Greenfield, WI 53221-2653 | 2014-07-08 |
1902189202 | Walgreens Pharmacy | Pharmacy | 1195 N State St, Greenfield, IN 46140-1207 | 2011-09-22 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 50849 |
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.