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SHOPKO PHARMACY 005
NPI 1285680637
Pharmacy - Community/Retail Pharmacy in De Pere, WI

Active since May 26, 2006
230 N WISCONSIN ST, DE PERE, WI 54115(920) 336-2323(920) 336-2186 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 005 NPPES

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

SHOPKO PHARMACY 005 (NPI 1285680637) is a healthcare organization registered as a community/retail pharmacy in De Pere, Wisconsin and active in the NPI registry since May 2006. The organization lists Dilip Sedani, Vp, as its authorized official.

NPPES Registry Identity

NPI1285680637
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address230 N WISCONSIN STDe Pere, WI 54115
Mailing Address230 N Wisconsin StDe Pere, WI 54115-2735 · (920) 336-2323 · Fax (920) 336-2186
Phone(920) 336-2323
Fax(920) 336-2186
Organization SubpartNo
Authorized OfficialDilip SedaniVp · (920) 429-7688
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 24, 2018
✔ NPI 1285680637 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 WI · 8618042
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
230 N WISCONSIN ST, De Pere, WI 54115
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Other Names 1

Doing Business AsShopko Pharmacy 005

Other Identifiers 2

Other5117610Ncpdp Number
Medicaid33058100WI

Other Providers at the Same Location NPPES 6

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

DR. AMY MARIE PEOT OD
Optometrist
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-3390
ANN M MILLIGAN RPH
Pharmacist (Pharmacotherapy)
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-2323
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-3390
MR. THOMAS MERRILL THOMAS R.PH.
Pharmacist (Pharmacotherapy)
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-2323
DR. NICHOLAS ROOVERS OD
Optometrist
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-3390
KENNETH WILLIAM BOND
Pharmacist
230 N WISCONSIN ST
DE PERE, WI 54115
Brown County (920) 336-2323

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 1285680637. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 005.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 230 N Wisconsin St, De Pere, WI 54115. The listed phone number is (920) 336-2323.

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 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.