SHOPKO PHARMACY 563
NPI 1124473533
Pharmacy - Community/Retail Pharmacy in Mauston, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1124473533. It was assigned to this organization in the NPPES registry on May 4, 2016. The provider is doing business as Shopko Pharmacy 563.

Q: 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.

Active since May 04, 2016

406 GATEWAY AVE, MAUSTON, WI 53948(608) 350-0962 Get Directions Write a Review

NPPES record last updated: December 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shopko Pharmacy 563 NPPES

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

SHOPKO PHARMACY 563 (NPI 1124473533) is a healthcare organization registered as a community/retail pharmacy in Mauston, Wisconsin and active in the NPI registry since May 2016. The organization lists Lorie Neumann, Director Of Third Party, as its authorized official.

NPPES Registry Identity

NPI1124473533

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address406 GATEWAY AVEMauston, WI 53948-1401

Mailing Address406 Gateway AveMauston, WI 53948-1401 · (608) 350-0962

Phone(608) 350-0962

Organization SubpartNo

Authorized OfficialLorie NeumannDirector Of Third Party · (920) 429-4726

Enumeration DateMay 4, 2016

Last NPPES UpdateDecember 15, 2016

✔ NPI 1124473533 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

406 GATEWAY AVE, Mauston, WI 53948

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Other Names 1

Doing Business AsShopko Pharmacy 563

Other Identifiers 2

Medicare NSC5695760302WI

Medicaid1124473533WI

Other Providers at the Same Location NPPES 7

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

MILE BLUFF MEDICAL CENTER INC

Non-Pharmacy Dispensing Site