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SHOPKO
NPI 1184051948
Pharmacy - Community/Retail Pharmacy in Green Bay, WI

Active since October 10, 2013
301 BAY PARK SQ, GREEN BAY, WI 54304(920) 499-5889 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko NPPES

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

SHOPKO (NPI 1184051948) is a healthcare organization registered as a community/retail pharmacy in Green Bay, Wisconsin and active in the NPI registry since October 2013. The organization lists Gena Trast, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1184051948
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO
Location Address301 BAY PARK SQGreen Bay, WI 54304-5104
Mailing Address301 Bay Park SqGreen Bay, WI 54304-5104 · (920) 499-5889
Phone(920) 499-5889
Organization SubpartNo
Authorized OfficialGena TrastPharmacist · (920) 499-5889
Enumeration DateOctober 10, 2013
✔ NPI 1184051948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 051-039854
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.
301 BAY PARK SQ, Green Bay, WI 54304
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Other Providers at the Same Location NPPES 10

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 499-5889
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 499-3511
JAMES CHARLES FORNES , OD O.D.
Optometrist
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 499-3511
ELAINE M SMITH PA
Physician Assistant
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 592-9475
ALISYN R BACIAK PHARM.D.
Pharmacist
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 499-5889
THOMAS BOUCHER
Pharmacist
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 499-5889
DEBRA ANN CHRISTENSEN APNP
Nurse Practitioner (Family)
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 592-9475
MARISSA LEIGH ZEHREN APNP
Nurse Practitioner (Family)
301 BAY PARK SQ
GREEN BAY, WI 54304
Brown County (920) 592-9475

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's NPI number?

The NPI number for Shopko is 1184051948. It was assigned to this organization in the NPPES registry on October 10, 2013.

Where is Shopko located?

Shopko is located at 301 Bay Park Sq, Green Bay, WI 54304. The listed phone number is (920) 499-5889.

What is Shopko'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 was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.