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SHOPKO PHARMACY 2011
NPI 1427007160
Pharmacy - Community/Retail Pharmacy in Kingsford, MI

Active since May 09, 2006
500 S CARPENTER AVE, KINGSFORD, MI 49802(906) 774-7907(906) 774-5547 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 2011 NPPES

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

SHOPKO PHARMACY 2011 (NPI 1427007160) is a healthcare organization registered as a community/retail pharmacy in Kingsford, Michigan and active in the NPI registry since May 2006. The organization lists Russell Steinhorst, Svp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1427007160
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address500 S CARPENTER AVEKingsford, MI 49802-4529
Mailing Address500 S Carpenter AveKingsford, MI 49802-4529 · (906) 774-7907 · Fax (906) 774-5547
Phone(906) 774-7907
Fax(906) 774-5547
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp And Cfo · (920) 429-7489
Enumeration DateMay 9, 2006
Last NPPES UpdateDecember 14, 2015
✔ NPI 1427007160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301008363
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
Also ListedPharmacyTaxonomy 333600000X
500 S CARPENTER AVE, Kingsford, MI 49802
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Other Names 1

Doing Business AsShopko Pharmacy 2011

Other Identifiers 8

Medicare ID-Type Unspecified1111590052
Medicaid2321418MI
Other4913374Mi Medicaid Dme
Medicare NSC5695760124
Other4819031Mi Medicaid Dme
Other9000B210480MI · Blue Cross Pin
Medicaid33127600WI
Other2321418Ncpdp Number

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
500 S CARPENTER AVE
KINGSFORD, MI 49802
Dickinson County (906) 779-9164

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 1427007160. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Shopko Pharmacy 2011.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 500 S Carpenter Ave, Kingsford, MI 49802. The listed phone number is (906) 774-7907.

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 December 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.