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SHOPKO PHARMACY 2644
NPI 1215980842
Pharmacy - Community/Retail Pharmacy in Clare, MI

Active since May 17, 2006
11250 N MISSION RD, CLARE, MI 48617(989) 802-0354(989) 802-0355 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 2644 NPPES

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

SHOPKO PHARMACY 2644 (NPI 1215980842) is a healthcare organization registered as a community/retail pharmacy in Clare, Michigan and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Evp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1215980842
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address11250 N MISSION RDClare, MI 48617-9301
Mailing Address11250 N Mission RdClare, MI 48617-9301 · (989) 802-0354 · Fax (989) 802-0355
Phone(989) 802-0354
Fax(989) 802-0355
Organization SubpartNo
Authorized OfficialRussell SteinhorstEvp And Cfo · (920) 429-7489
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 15, 2015
✔ NPI 1215980842 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 · 5301008381
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
11250 N MISSION RD, Clare, MI 48617
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Other Names 1

Doing Business AsShopko Pharmacy 2644

Other Identifiers 6

Medicare NSC5695760220
Other2364317Ncpdp Number
Medicare ID-Type Unspecified0459230105MI
Medicaid2364317MI
Medicaid4819247MI
Medicaid4913427MI

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 1215980842. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Shopko Pharmacy 2644.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 11250 N Mission Rd, Clare, MI 48617. The listed phone number is (989) 802-0354.

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.