SHOPKO STORES OPERATING CO LLC (NPI# 1972556926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556926 |
| Entity Type | Organization |
| Organization Name | SHOPKO STORES OPERATING CO LLC |
| Other Organization Name | SHOPKO PHARMACY 753 |
| Practice Address |
2701 Highway 18 W Hot Springs SD 57747-6601 |
| Practice Telephone | 6057454681 |
| Practice Fax Number | 6057454813 |
| Mailing Telephone | 6057454681 |
| Mailing Fax Number | 6057454813 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-10-18 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025418100 | 05 | |
| SD | 8502040 | 05 | |
| SD | 8502042 | 05 | |
| WY | 123292401 | 05 | |
| NCPDP | 4304630 | 01 | |
| WY | 117793100 | 05 | |
| NE | 47062642602 | 05 | |
| WY | 123292400 | 05 | |
| SD | 9162102 | 05 | |
| SD | 9566672 | 05 |
| Other Name | Type Code |
|---|---|
| Shopko Pharmacy 753 | 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 |
2701 HIGHWAY 18 W |
| City | HOT SPRINGS |
| State | SD |
| Zip Code | 57747-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437145885 | Marilyn Milner | Pharmacist | 2701 Highway 18 W, Hot Springs, SD 57747-6601 | 2005-09-21 |
| 1154765451 | Roland Theodore Wick | Pharmacist | 2701 Highway 18 W, Hot Springs, SD 57747-6604 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013548775 | Jo Ella S. Russell | Social Worker | 500 N, 5th Street, Hot Springs, SD 57747 | 2020-01-31 |
| 1558910596 | Mary Terrones | Technician | 2205 Albany Ave, Hot Springs, SD 57747 | 2019-09-11 |
| 1619539467 | Brittany Allison Fuchs | Counselor | 504 N 5th St, Hot Springs, SD 57747 | 2019-07-02 |
| 1245896273 | Robert Lyons | Social Worker | Hot Springs Vamc, Hot Springs, SD 57747 | 2019-05-15 |
| 1326547308 | Lynette A. Roberts | Case Manager/Care Coordinator | 3 Canyon View Circle Dr., Hot Springs, SD 57747 | 2018-02-06 |
| 1205054772 | Robert Wayne Holwell | Chiropractor | 238 N Garden Street, Hot Springs, SD 57747 | 2007-04-23 |
| 1801934989 | Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. | Clinic/Center | 646 Jennings Ave., Ste #2, Hot Springs, SD 57747 | 2007-02-02 |
| 1902972417 | Hot Springs Ambulance Service | Ambulance | 709 S Us Hwy 385, Hot Springs, SD 57747 | 2006-11-27 |
| 1275615783 | Hot Springs Veterans Administration | Substance Abuse Rehabilitation Facility | 500 North Fifth St, Va Hot Springs, Hot Springs, SD 57747 | 2006-10-20 |
| 1609961051 | Leslie Susan Young | Psychologist | 500 N. 5th Street, Hot Springs, SD 57747 | 2006-10-03 |
| Find all providers in zip 57747 | ||||
| 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 |
|---|---|---|---|---|
| 1558894790 | Midsouth Medical Specialties, LLC | Pharmacy | 105 Sawtooth Oak St, Hot Springs, AR 71901-7160 | 2017-04-05 |
| 1720410467 | Harps Food Stores, Inc | Pharmacy | 5536 Central Avenue, Hot Springs, AR 71913 | 2013-08-05 |
| 1659703411 | Harps Food Stores, Inc | Pharmacy | 146 Thornton Ferry Road, Hot Springs, AR 71913 | 2013-08-05 |
| 1720120173 | Hometown Pharmacy Inc | Pharmacy | 2228 Albert Pike Rd Ste B, Hot Springs, AR 71913-4089 | 2007-02-13 |
| 1265580260 | Bob's Food City # 1450 | Pharmacy | 800 Malvern Ave, Hot Springs, AR 71901-6230 | 2007-01-08 |
| 1457409385 | Buy Rite Partners, Inc | Pharmacy | 1739 Airport Road, Hot Springs, AR 71913 | 2007-01-08 |
| 1164504221 | Hopkins Inc | Pharmacy | 627 Albert Pike Rd, Hot Springs, AR 71913-3805 | 2006-10-19 |
| 1215460688 | Midsouth Medical Specialties, LLC | Pharmacy | 1534 Malvern Ave, Hot Springs, AR 71901-6508 | 2017-04-04 |
| 1508852831 | Budget Pharmacy Inc | Pharmacy | 117 Greenwood Ave, Hot Springs, AR 71913-4428 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868514 | Dakota Pharms, LLC | Pharmacy | 120 Commercial Ave Se, Highmore, SD 57345-2145 | 2019-12-17 |
| 1831675438 | Lewis Drugs, Inc. | Pharmacy | 2525 S Ellis Rd, Sioux Falls, SD 57106-7066 | 2018-07-17 |
| 1104302702 | Lewis Drugs, Inc. | Pharmacy | 136 S Phillips Ave, Sioux Falls, SD 57104-6706 | 2018-07-17 |
| 1316463219 | Avera Mckennan | Pharmacy | 1200 S. 7th Avenue, Suite 101, Sioux Falls, SD 57105 | 2017-08-22 |
| 1487109690 | Monument Health Home Plus, LLC | Pharmacy | 2006 Mount Rushmore Rd Ste 2, Rapid City, SD 57701-4622 | 2016-08-17 |
| 1316342306 | Dpx Enterprises, Inc. | Pharmacy | 5028 S Cliff Ave, Sioux Falls, SD 57108-5432 | 2014-11-03 |
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1609178565 | Hy Vee Inc | Pharmacy | 2700 W 10th St, Sioux Falls, SD 57104-2547 | 2010-11-29 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 57747 |
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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.