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).
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 |
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 #2205 | 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 |
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 |
Street Address |
94 NORTH 400 EAST |
City | DELTA |
State | UT |
Zip Code | 84624 |
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 |
Find all providers in zip 84624 |
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 |
---|---|---|---|---|
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 |
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---|---|---|---|---|
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 |
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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.