SHOPKO STORES OPERATING CO LLC


Address: 94 North 400 East, Delta, UT 84624
Phone: 9204294726

SHOPKO STORES OPERATING CO LLC (NPI# 1740736586) 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) 1740736586
Entity Type Organization
Organization Name SHOPKO STORES OPERATING CO LLC
Other Organization Name SHOPKO PHARMACY #2205
Practice Address 94 North 400 East
Delta
UT 84624
Practice Telephone 9204294726
Mailing Telephone 9204294726
Enumeration Date 2016-08-31
Last Update Date 2016-11-15
Authorized Official Name LORIE NEUMANN (DIRECTOR OF THIRD PARTY)
Authorized Official Telephone 92044294726
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/Organization Names

Other Name Type Code
SHOPKO PHARMACY #2205 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
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
1184073520 Shopko Stores Operating Co LLC Durable Medical Equipment & Medical Supplies 3402 Main St, Emmetsburg, IA 50536-1515 2016-06-07

Office Location

Street Address 94 NORTH 400 EAST
City DELTA
State UT
Zip Code 84624

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144656323 Scott C Stucki Dentist 372 West Main, Delta, UT 84624 2013-09-19
1316208853 Janeann Draper Assisted Living Facility 234 Main St., Delta, VT 84624 2012-05-31
1124215579 Shauna Nelson Registered Nurse 428 East Topaz Blvd #d, Delta, UT 84624 2007-10-01
1356461636 Marlow Plumb Counselor 51 N Center, Delta, UT 84624 2007-03-30
1649356874 Thomas Earl Chandler Dentist 262 North 350 East, Delta, UT 84624 2006-10-31
1639185424 Central Utah Counseling Center Counselor 51 North Center Street, Delta, UT 84624 2006-07-31
1790752590 Brian Lydell Coles Specialist/Technologist 850 Brushwellman Rd, Oak City, UT 84624 2006-03-01
1942671086 Canyon View Medical Group LLC Orthopaedic Surgery 95 White Sage Ave, Suite C, Delta, UT 84624 2015-10-15
1336576560 Mathew Ray Coddington Nurse Anesthetist, Certified Registered 126 White Sage Ave, Delta, UT 84624 2013-10-02
1376676825 Dennis Allen Deloach Dentist 60 South 300 East, Delta, UT 84624 2007-03-13
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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
1891716999 Community Market of Ohio Inc Pharmacy 702 Main St, Delta, OH 43515-1420 2006-07-22
1104398353 Quality Market Pharmacy 180 E Main St, Delta, UT 84624-8497 2018-12-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881292167 3bc Incorporated Pharmacy 435 North Gateway Drive #802, Providence, UT 84332 2020-10-09
1598371973 Mountain West Medicine Inc. Pharmacy 1551 Renaissance Towne Dr Ste 104, Bountiful, UT 84010-7682 2020-09-21
1518577741 Black Panda LLC Pharmacy 2507 S State St, Salt Lake City, UT 84115-3109 2020-08-03
1235751900 Roe Rx Inc Pharmacy 145 S 3000 W, West Point, UT 84015 2020-05-15
1023637675 Santaquin Market, Inc. Pharmacy 110 N. 400 E., Santaquin, UT 84655 2020-04-14
1891345237 Strive Pharmacy Utah 1 LLC Pharmacy 8928 S State St, Sandy, UT 84070-2246 2019-09-17
1336705755 Bear Lake Community Health Center Pharmacy 517 W 100 N Ste 210, Providence, UT 84332-9826 2019-05-10
1912470246 Ridley's Family Markets Inc Pharmacy 74 S 100 E, Tremonton, UT 84337-1606 2019-01-09
1437620762 Pthl LLC Pharmacy 1890 Bonanza Dr Ste 107, Park City, UT 84060-7217 2018-12-16
1093285785 Richfield Community Pharmacy LLC Pharmacy 440 S Main St Ste B, Richfield, UT 84701-2855 2018-11-26
Find all providers with the same taxonomy

Competitor

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City DELTA
Zip Code 84624

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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