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SHOPKO PHARMACY 2643
NPI 1043263825
Pharmacy - Community/Retail Pharmacy in Newaygo, MI

Active since May 19, 2006
91 PINE LAKE DR, NEWAYGO, MI 49337(231) 652-9484(231) 652-9485 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 2643 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 2643 (NPI 1043263825) is a healthcare organization registered as a community/retail pharmacy in Newaygo, Michigan and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp And Coo, as its authorized official.

NPPES Registry Identity

NPI1043263825
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address91 PINE LAKE DRNewaygo, MI 49337
Mailing Address91 Pine Lake DrNewaygo, MI 49337 · (231) 652-9484 · Fax (231) 652-9485
Phone(231) 652-9484
Fax(231) 652-9485
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp And Coo · (920) 429-7489
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 14, 2015
✔ NPI 1043263825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
91 PINE LAKE DR, Newaygo, MI 49337
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Other Names 1

Doing Business AsShopko Pharmacy 2643

Other Identifiers 5

Medicaid2361436MI
Medicaid4819210MI
Medicaid4913875MI
Other2361436Ncpdp Number
Medicare NSC5695760285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1043263825. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 2643.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 91 Pine Lake Dr, Newaygo, MI 49337. The listed phone number is (231) 652-9484.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.