SHOPKO PHARMACY 706 – NPI #1386825248
Durable Medical Equipment & Medical Supplies

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Health Care Provider Taxonomy Code for Durable Medical Equipment & Medical Supplies

SHOPKO PHARMACY 706 is a DME supplier located in DONIPHAN, MO. NPPES has assigned the NPI number 1386825248 to SHOPKO PHARMACY 706 on November 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHOPKO PHARMACY 706” is a dba name, the actual legal business name for this organization is SHOPKO STORES OPERATING CO LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies.

The NPI profile was previously updated about 14 years ago on May 23, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHOPKO PHARMACY 706 below.

NPI Profile for
SHOPKO STORES OPERATING CO LLC

NPI Number
1386825248
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHOPKO STORES OPERATING CO LLC
Doing Business As (dba): SHOPKO PHARMACY 706
Primary location
111 LEROUX DR
DONIPHAN, MO 63935
Phone: (573) 996-2311 Fax: (573) 996-7415
Mailing address
Same as primary location
Organization Subpart
Yes - SHOPKO PHARMACY 706 is subpart of another organization.
Authorized Official
MICHAEL BETTIGA
EXCUTIVE VICE PRESIDENT & COO
Phone: (920) 429-4297
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332B00000X
- Durable Medical Equipment & Medical Supplies (Primary)
3336C0003X
- Pharmacy / Community/Retail Pharmacy
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.