SHOPKO PHARMACY 509
NPI 1306397773
Pharmacy - Community/Retail Pharmacy in Marinette, WI

Q: What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1306397773. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as Shopko Pharmacy 509.

Q: 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.

Active since October 20, 2016

2820 ROOSEVELT RD, MARINETTE, WI 54143(920) 429-4726 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 27, 2018, Oct 20, 2016 (2 updates tracked since 2016).

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About Shopko Pharmacy 509 NPPES

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

SHOPKO PHARMACY 509 (NPI 1306397773) is a healthcare organization registered as a community/retail pharmacy in Marinette, Wisconsin and active in the NPI registry since October 2016. The organization lists Jannie Delane Paschal, Vp Managed Care, as its authorized official.

NPPES Registry Identity

NPI1306397773

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address2820 ROOSEVELT RDMarinette, WI 54143

Mailing Address2820 Roosevelt RdMarinette, WI 54143 · (715) 330-6171

Phone(920) 429-4726

Organization SubpartNo

Authorized OfficialJannie Delane PaschalVp Managed Care · (920) 429-4726

Enumeration DateOctober 20, 2016

Last NPPES UpdateApril 27, 20182 updates tracked since enumeration

✔ NPI 1306397773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

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

2820 ROOSEVELT RD, Marinette, WI 54143

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Other Names 1

Doing Business AsShopko Pharmacy 509

Other Identifiers 1

Medicaid1306397773WI

Other Providers at the Same Location NPPES 20

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

SAMANTHA JEAN SHALLOW

Physical Therapist