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SHOPKO PHARMACY 716
NPI 1174941231
Pharmacy - Community/Retail Pharmacy in Mount Carmel, IL

Active since April 04, 2014
1520 W 9TH ST, MOUNT CARMEL, IL 62863(618) 262-2475 Get Directions Write a Review

NPPES record last updated: September 4, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shopko Pharmacy 716 NPPES

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

SHOPKO PHARMACY 716 (NPI 1174941231) is a healthcare organization registered as a community/retail pharmacy in Mount Carmel, Illinois and active in the NPI registry since April 2014. The organization lists Lorie Neumann, Vp Retail Health Services, as its authorized official.

NPPES Registry Identity

NPI1174941231
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1520 W 9TH STMount Carmel, IL 62863-2909
Mailing Address1520 W 9th StMount Carmel, IL 62863-2909 · (618) 262-2475
Phone(618) 262-2475
Organization SubpartNo
Authorized OfficialLorie NeumannVp Retail Health Services · (920) 429-4726
Enumeration DateApril 4, 2014
Last NPPES UpdateSeptember 4, 2015
✔ NPI 1174941231 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
1520 W 9TH ST, Mount Carmel, IL 62863
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Other Names 1

Doing Business AsShopko Pharmacy 716

Other Identifiers 2

Medicare NSC5695760291IL
OtherP00836438IL · Rail Road Medicare

Other Providers at the Same Location NPPES

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

MR. PHILLIP PRATT DEWOLF R. PH.
Pharmacist
1520 W 9TH ST
MOUNT CARMEL, IL 62863
Wabash County (618) 262-2475

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 1174941231. It was assigned to this organization in the NPPES registry on April 4, 2014. The provider is doing business as Shopko Pharmacy 716.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1520 W 9th St, Mount Carmel, IL 62863. The listed phone number is (618) 262-2475.

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 4, 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.