SHOPKO PHARMACY 2010
NPI 1104875731
Pharmacy - Community/Retail Pharmacy in Marquette, MI

Active since May 10, 2006
1150 W WASHINGTON ST, MARQUETTE, MI 49855(906) 228-8380(906) 228-3565 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 2010 NPPES

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

SHOPKO PHARMACY 2010 (NPI 1104875731) is a healthcare organization registered as a community/retail pharmacy in Marquette, Michigan and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1104875731
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1150 W WASHINGTON STMarquette, MI 49855-4040
Mailing Address1150 W Washington StMarquette, MI 49855-4040 · (906) 228-8380 · Fax (906) 228-3565
Fax(906) 228-3565
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp And Cfo · (920) 429-7489
Enumeration DateMay 10, 2006
Last NPPES UpdateDecember 15, 2015
NPI 1104875731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in MI · 5301008354
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 ListedEyewear SupplierTaxonomy 332H00000X
1150 W WASHINGTON ST, Marquette, MI 49855

Other Names 1

Doing Business AsShopko Pharmacy 2010

Other Identifiers 7

Other4913356Mi Medicaid Dme
Other9000E210860MI · Blue Cross Pin
Other2306909Ncpdp Number
Medicare NSC5695760077
Other4819069Mi Medicaid Dme
Medicaid2306909MI
Medicare NSC1111590051

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1150 W WASHINGTON ST
MARQUETTE, MI 49855
Eyewear Supplier
1150 W WASHINGTON ST
MARQUETTE, MI 49855
Nurse Practitioner (Primary Care)
1150 W WASHINGTON ST
MARQUETTE, MI 49855

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 1104875731. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Shopko Pharmacy 2010.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1150 W Washington St, Marquette, MI 49855. The listed phone number is (906) 228-8380.

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 15, 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.