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SHOPKO PHARMACY 083
NPI 1295786572
Pharmacy - Community/Retail Pharmacy in Sandy, UT

Active since May 12, 2006
2165 E 9400 S, SANDY, UT 84093(801) 942-8555(801) 943-9121 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 083 NPPES

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

SHOPKO PHARMACY 083 (NPI 1295786572) is a healthcare organization registered as a community/retail pharmacy in Sandy, Utah and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295786572
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2165 E 9400 SSandy, UT 84093-3201
Mailing Address2165 E 9400 SSandy, UT 84093-3201 · (801) 942-8555 · Fax (801) 943-9121
Phone(801) 942-8555
Fax(801) 943-9121
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp Chief Financial Officer · (920) 429-7489
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 29, 2016
✔ NPI 1295786572 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 UT · 1313211703
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 ListedEyewear SupplierTaxonomy 332H00000X
2165 E 9400 S, Sandy, UT 84093
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Other Names 1

Doing Business AsShopko Pharmacy 083

Other Identifiers 5

Medicare NSC5695760046
Medicaid410985054019UT
Medicare ID-Type Unspecified0154160001
Medicaid=========015UT
Other4606692Ncpdp Number

Other Providers at the Same Location NPPES 2

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

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
2165 E 9400 S
SANDY, UT 84093
Salt Lake County (801) 942-7171
DR. DAVID NELSON LATER O.D.
Optometrist
2165 E 9400 S
SANDY, UT 84093
Salt Lake County (801) 942-7171

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 1295786572. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Pharmacy 083.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2165 E 9400 S, Sandy, UT 84093. The listed phone number is (801) 942-8555.

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 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.