SHOPKO STORES OPERATING CO LLC


Address: 6355 Main St, Bonners Ferry, ID 83805-8519
Phone: 9204294726

SHOPKO STORES OPERATING CO LLC (NPI# 1821441205) 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) 1821441205
Entity Type Organization
Organization Name SHOPKO STORES OPERATING CO LLC
Other Organization Name SHOPKO PHARMACY 584
Practice Address 6355 Main St
Bonners Ferry
ID 83805-8519
Practice Telephone 9204294726
Mailing Telephone 9204294726
Enumeration Date 2016-07-20
Last Update Date 2016-12-08
Authorized Official Name LORIE NEUMANN (DIRECTOR OF THIRD PARTY)
Authorized Official Telephone 9204294726
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 584 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
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 6355 MAIN ST
City BONNERS FERRY
State ID
Zip Code 83805-8519

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366990996 Nicole Diana Madill Counselor 687 Cody Street, Bonners Ferry, ID 83805 2016-09-12
1154770295 Rachel Meiland Webster Social Worker 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 2016-06-09
1205211786 Robert Rossi Social Worker Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 2015-07-24
1154660041 Mark R. Barker, O.d.p.c. Optometrist 7177 Main St., Bonners Ferry, ID 83805 2013-02-12
1003182668 Jessica Faye Horricks Dentist 6615 Commanche, Bonners Ferry, ID 83805 2012-03-28
1427334929 Tanya Marie Allmaras Physician Assistant 6635 Comanche Street, Bonners Ferry, ID 83805 2011-10-27
1114259769 Joshua Olen Shelton Chiropractor 6389 Bonner St., Bonners Ferry, ID 83805 2010-02-08
1558690644 April C Christman Social Worker 6615 Comanche Street, Bonners Ferry, ID 83805 2009-12-18
1407006067 Denys Taipale-knight Counselor 385 Moose Ridge Lane, Bonners Ferry, ID 83805 2008-09-19
1013126457 John Pierce Brownlee Jr. Registered Nurse 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 2007-05-22
Find all providers in zip 83805

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 state

NPI Name Taxonomy Address Enumeration
1295336709 Family Health Services Pharmacy Pharmacy 218 W. Nez Perce, Jerome, ID 83338 2020-11-03
1841806494 Deblaquiere Enterprises, Inc. Pharmacy 86 Tank Rd, Oldtown, ID 83822-5126 2020-09-18
1043838584 Costco Wholesale Corporation Pharmacy 3403 W Chinden Blvd, Meridian, ID 83646-7151 2020-07-10
1265054324 Costco Wholesale Corporation Pharmacy 2495 E Lincoln Rd, Idaho Falls, ID 83401-2203 2020-05-12
1851923544 Rocky Mountain Pharmacy, LLC Pharmacy 3910 Washington Pkwy Ste A, Idaho Falls, ID 83404-7884 2020-02-10
1013559269 Timberline Pharmacy Pharmacy 4574 N Ten Mile Rd Ste 110, Meridian, ID 83646-6930 2019-10-09
1508420373 K2red LLC Pharmacy 447 N Idaho St, Wendell, ID 83355 2019-04-27
1679039135 Hollis Family Pharmacy LLC Pharmacy 845 S Substation Rd, Emmett, ID 83617 2019-02-20
1598229809 Clearwater Canyon Pharmacy, LLC Pharmacy 13020 Us-12, Orofino, ID 83544 2019-01-31
1861999377 Bi-mart Corporation Pharmacy 11347 W State Street, Star, ID 83669 2018-04-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City BONNERS FERRY
Zip Code 83805

Improve Information

Please comment or provide details below to improve the information on SHOPKO STORES OPERATING CO LLC.

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.

Trending Searches