SHOPKO STORES OPERATING CO LLC


Address: 1006 S County Rd, Toledo, IA 52342-1062
Phone: 6414848801

SHOPKO STORES OPERATING CO LLC (NPI# 1295788891) 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) 1295788891
Entity Type Organization
Organization Name SHOPKO STORES OPERATING CO LLC
Other Organization Name SHOPKO PHARMACY 679
Practice Address 1006 S County Rd
Toledo
IA 52342-1062
Practice Telephone 6414848801
Practice Fax Number 6414848701
Mailing Telephone 6414848801
Mailing Fax Number 6414848701
Enumeration Date 2006-05-18
Last Update Date 2013-01-25
Authorized Official Name MR. MICHAEL BETTIGA (EXECUTIVE VICE PRESIDENT AND 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
IA 0299321 05
IA 0495598 05
NCPDP 1621704 01

Other Provider/Organization Names

Other Name Type Code
Shopko Pharmacy 679 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 1006 S COUNTY RD
City TOLEDO
State IA
Zip Code 52342-1062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952866014 Hy Vee Inc Durable Medical Equipment & Medical Supplies 1006 S County Rd, Toledo, IA 52342-1062 2019-02-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528116209 Tama County Case Management Case Manager/Care Coordinator 211 W. State St., Toledo, IA 52342 2007-01-08
1962507046 Patricia Marie Kline Social Worker 1309 S Broadway, Toledo, IA 52342 2006-09-14
1093262560 Seitz Family Chiropractic, LLC Chiropractor 507 S County Rd, Toledo, IA 52342 2016-09-01
1164527248 Mental Health Clinic of Tama County Iowa Inc Clinic/Center 1309 S Broadway, Toledo, IA 52342 2006-09-14
1790850741 Central Iowa Family Planning Inc. Nurse Practitioner 507 S County Rd, Toledo, IA 52342-1021 2006-11-22
1477900249 Giovanna Seitz Chiropractor 507 S County Rd, Toledo, IA 52342-1021 2016-05-20
1194724344 Toledo Emergency Services Ambulance 100 S County Rd, Toledo, IA 52342-1056 2005-07-19
1295732675 Tama County Administrative Offices Home Health 129 W High St, Toledo, IA 52342-1319 2005-06-30
1275885345 Erin Marie Gumm Counselor 105 W Ohio St, Toledo, IA 52342-1323 2012-10-12
1982615993 Doyle's Family Pharmacy, Inc Durable Medical Equipment & Medical Supplies 108 E High St, Toledo, IA 52342-1510 2006-08-11
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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
1164983946 Franklin Park Pharmacy LLC Pharmacy 4026 Secor Rd Ste 2, Toledo, OH 43623-4270 2019-03-26
1063924702 United Drug Group LLC Pharmacy 1339 Dorr St, Toledo, OH 43607-4015 2017-11-03
1407194095 Lifecare Pharmacy Corp Pharmacy 2011 Starr Ave, Toledo, OH 43605-2521 2013-01-16
1639434103 Westgate Family Pharmacy Inc Pharmacy 3147 W Central Ave, Toledo, OH 43606-2923 2012-07-10
1366725863 Toledo Family Pharmacy Inc Pharmacy 1601 W Sylvania Ave, Toledo, OH 43612-1532 2011-09-21
1659661528 Pharmacy Counter, LLC Pharmacy 3144 W Central Ave, Toledo, OH 43606-2920 2011-04-13
1144410143 Costco Wholesale Corporation Pharmacy 3405 W Central Ave, Toledo, OH 43606-1402 2007-07-26
1275678682 Community Pharmacy Partners Pharmacy 2105 W Alexis Rd, Toledo, OH 43613-2256 2007-02-21
1780699710 Walgreen Co Pharmacy 1330 N Reynolds Rd, Toledo, OH 43615-4760 2006-07-29
1326061284 Moore Family Stores Inc. Pharmacy 104 Court House Sq, Toledo, IL 62468 2006-07-25
Find all providers in TOLEDO

Competitor

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City TOLEDO
Zip Code 52342

Improve Information

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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.

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