SHOPKO PHARMACY 061
NPI 1114971926
Pharmacy - Community/Retail Pharmacy in Saint Cloud, MN

Active since May 19, 2006
501 HIGHWAY 10 SE, SAINT CLOUD, MN 56304(320) 253-5373(320) 253-4985 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 061 NPPES

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

SHOPKO PHARMACY 061 (NPI 1114971926) is a healthcare organization registered as a community/retail pharmacy in Saint Cloud, Minnesota and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1114971926
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address501 HIGHWAY 10 SESaint Cloud, MN 56304-1250
Mailing Address501 Highway 10 SeSaint Cloud, MN 56304-1250 · (320) 253-5373 · Fax (320) 253-4985
Fax(320) 253-4985
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp Chief Financial Officer · (920) 429-7489
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 14, 2016
NPI 1114971926 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 MN · 2628066
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
501 HIGHWAY 10 SE, Saint Cloud, MN 56304

Other Names 1

Doing Business AsShopko Pharmacy 061

Other Identifiers 6

Other2416926Ncpdp Number
Medicaid597816500MN
Medicare NSC5695760083
Medicare ID-Type Unspecified1111590022
Medicaid837430000MN
Medicaid820258300MN

Other Providers at the Same Location NPPES

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

Eyewear Supplier
501 HIGHWAY 10 SE
SAINT CLOUD, MN 56304

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 1114971926. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 061.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 501 Highway 10 SE, Saint Cloud, MN 56304. The listed phone number is (320) 253-5373.

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 September 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.