SHOPKO PHARMACY 2643 – NPI #1043263825
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.
SHOPKO PHARMACY 2643 is a pharmacy located in NEWAYGO, MI. NPPES has assigned the NPI number 1043263825 to SHOPKO PHARMACY 2643 on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHOPKO PHARMACY 2643” 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 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy
The NPI profile was previously updated about 10 years ago on Dec 14, 2015. 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 2643 below.
NPI Profile for
SHOPKO STORES OPERATING CO LLC
(more than 20 years ago)
NEWAYGO, MI 49337 Phone: (231) 652-9484 Fax: (231) 652-9485
SVP AND COO
Phone: (920) 429-7489
Identifiers for SHOPKO PHARMACY 2643
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCPDP NUMBER | 2361436 | |
| MEDICAID | MI | 2361436 | |
| MEDICAID | MI | 4913875 | |
| MEDICAID | MI | 4819210 |
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 |
|---|---|---|
| 3336C0003X - Pharmacy / Community/Retail Pharmacy (Primary) |
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| 333600000X - Pharmacy |
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| 332B00000X - Durable Medical Equipment & Medical Supplies |
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.