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SHOPKO PHARMACY 087
NPI 1245281328
Pharmacy - Community/Retail Pharmacy in Ogden, UT

Active since May 13, 2006
1018 WASHINGTON BLVD, OGDEN, UT 84404(801) 392-5800(801) 392-1018 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 087 NPPES

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

SHOPKO PHARMACY 087 (NPI 1245281328) is a healthcare organization registered as a community/retail pharmacy in Ogden, Utah and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1245281328
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1018 WASHINGTON BLVDOgden, UT 84404-4949
Mailing Address1018 Washington BlvdOgden, UT 84404-4949 · (801) 392-5800 · Fax (801) 392-1018
Phone(801) 392-5800
Fax(801) 392-1018
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 13, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1245281328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 1313711703
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
1018 WASHINGTON BLVD, Ogden, UT 84404
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Other Names 1

Doing Business AsShopko Pharmacy 087

Other Identifiers 5

Medicare ID-Type Unspecified0154160159
Other4606731Ncpdp Number
Medicaid=========005UT
Medicare NSC5695760024
Medicaid410985054053UT

Other Providers at the Same Location NPPES 3

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

DR. CARRIE ANN PALMER O.D.
Optometrist
1018 WASHINGTON BLVD
OGDEN, UT 84404
Weber County (801) 392-5100
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1018 WASHINGTON BLVD
OGDEN, UT 84404
Weber County (801) 392-5100
MEDICAL MARTS,LLC
Clinic/Center (Urgent Care)
1018 WASHINGTON BLVD
OGDEN, UT 84404
Weber County (801) 392-7100

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 1245281328. It was assigned to this organization in the NPPES registry on May 13, 2006. The provider is doing business as Shopko Pharmacy 087.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1018 Washington Blvd, Ogden, UT 84404. The listed phone number is (801) 392-5800.

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 August 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.