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SHOPKO PHARMACY #2559
NPI 1629452776
Pharmacy - Community/Retail Pharmacy in Orofino, ID

Active since July 17, 2015
429 MICHIGAN AVE, OROFINO, ID 83544(208) 476-5727 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2016, Dec 23, 2015 (2 updates tracked since 2015).

About Shopko Pharmacy #2559 NPPES

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

SHOPKO PHARMACY #2559 (NPI 1629452776) is a healthcare organization registered as a community/retail pharmacy in Orofino, Idaho and active in the NPI registry since July 2015. The organization lists Lorie Neumann, Dir 3d Party Contract & Ca, as its authorized official.

NPPES Registry Identity

NPI1629452776
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO., LLC
Location Address429 MICHIGAN AVEOrofino, ID 83544-0000
Mailing Address429 Michigan AveOrofino, ID 83544-0000
Phone(208) 476-5727
Organization SubpartNo
Authorized OfficialLorie NeumannDir 3d Party Contract & Ca · (920) 429-4726
Enumeration DateJuly 17, 2015
Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration
✔ NPI 1629452776 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
429 MICHIGAN AVE, Orofino, ID 83544
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Other Names 1

Doing Business AsShopko Pharmacy #2559

Other Identifiers 2

Medicaid1629452776ID
Medicare NSC5695760297ID

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.

SHERRI MILLS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
429 MICHIGAN AVE
OROFINO, ID 83544
Clearwater County (208) 476-5727
MR. ANDREW CYR PHARMACIST
Pharmacist
429 MICHIGAN AVE
OROFINO, ID 83544
Clearwater County (208) 476-5727

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 1629452776. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is Shopko Stores Operating Co., LLC located?

Shopko Stores Operating Co., LLC is located at 429 Michigan Ave, Orofino, ID 83544. The listed phone number is (208) 476-5727.

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 October 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.