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SHOPKO #602
NPI 1265878110
Pharmacy in Oconto, WI

Active since May 20, 2013
126 CHARLES ST, OCONTO, WI 54153(920) 834-5251(920) 834-9801 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko #602 NPPES

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

SHOPKO #602 (NPI 1265878110) is a healthcare organization registered as a pharmacy in Oconto, Wisconsin and active in the NPI registry since May 2013. The organization lists Nick Jackson, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1265878110
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameSHOPKO #602
Location Address126 CHARLES STOconto, WI 54153-9446
Mailing Address126 Charles StOconto, WI 54153-9446 · (920) 834-5251 · Fax (920) 834-9801
Phone(920) 834-5251
Fax(920) 834-9801
Organization SubpartNo
Authorized OfficialNick JacksonPharmacy Manager · (920) 834-5251
Enumeration DateMay 20, 2013
✔ NPI 1265878110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in WI · 900542
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
126 CHARLES ST, Oconto, WI 54153
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Other Providers at the Same Location NPPES 4

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

DR. JACLYN ANN KELLER O.D.
Optometrist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
MR. THOMAS LOTTER SR. RPH
Pharmacist
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-5251
SHOPKO STORES OPERATING CO LLC
Eyewear Supplier
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-1111
SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
126 CHARLES ST
OCONTO, WI 54153
Oconto County (920) 834-9800

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 #602's NPI number?

The NPI number for Shopko #602 is 1265878110. It was assigned to this organization in the NPPES registry on May 20, 2013.

Where is Shopko #602 located?

Shopko #602 is located at 126 Charles St, Oconto, WI 54153. The listed phone number is (920) 834-5251.

What is Shopko #602's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Shopko #602 was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.