NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

SHOPKO STORES OPERATING CO LLC
2120 THAIN GRADE
LEWISTON, ID83501-4105
 Phone: 208-746-1044
 Fax: 208-746-0744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SHOPKO STORES OPERATING CO LLC

NPI Number 1144275884
LBN Legal business name SHOPKO STORES OPERATING CO LLC
Authorized official MICHAEL BETTIGA - (SR. VICE PRESIDENT HEALTH SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 06/06/2014 - About 12 years ago
Identifiers
ID License # 2036CP
ID Medicaid 000311600
ID Medicaid 806730900
Other 1304651 NCPDP NUMBER
Other 0004888 WA LABOR & INDUSTRY
Other 0215803 WA LABOR & INDUSTRY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for SHOPKO STORES OPERATING CO LLC

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for SHOPKO STORES OPERATING CO LLC
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Suppliers
CATALYST MEDICAL GROUP, PLLC
320 WARNER DR
LEWISTON, ID
HELLS CANYON HEALTH AND WELLNESS PHARMACY
523 THAIN RD
LEWISTON, ID
WAL-MART STORES, INC.
306 5TH ST
CLARKSTON, WA
COSTCO WHOLESALE CORPORATION
301 5TH ST
CLARKSTON, WA
WASHINGTON STATE UNIVERSITY
1125 SE WASHINGTON STREET
PULLMAN, WA
POMEROY PHARMACY INC
764 MAIN ST
POMEROY, WA
ST. MARY'S HOSPITAL, INC.
701 LEWISTON ST
COTTONWOOD, ID
DEACON'S MEDICAL EQUIPMENT
118 N. MAIN ST.
COLFAX, WA
ARNZEN SUPER DRUG, INC.
318 MAIN STREET
KAMIAH, ID
ST. MARY'S HOSPITAL & CLINICS, INC.
318 MAIN ST
KAMIAH, ID

  View all Suppliers
v2.403