SHOPKO PHARMACY #2554
NPI 1659744720
Pharmacy - Community/Retail Pharmacy in Andrews, TX

Active since November 11, 2015
1203 N MAIN ST, ANDREWS, TX 79714(432) 523-3302 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About SHOPKO PHARMACY #2554

This page provides the complete NPI Profile along with additional information for Shopko Pharmacy #2554, a provider established in Andrews, Texas operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1659744720 assigned on November 2015. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Shopko Pharmacy #2554. The authorized official of this NPI record is Lorie Neumann (Dir 3d Party Contract & Ca)

NPI
1659744720 Verify this NPI
Provider Legal Name
SHOPKO STORES OPERATING CO., LLC
Other Organization Name
SHOPKO PHARMACY #2554
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1203 N MAIN ST ANDREWS, TX 79714
Location Phone
(432) 523-3302
Mailing Address
1203 N MAIN ST ANDREWS, TX 79714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2015
Last Update Date
11-11-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LORIE NEUMANN

Authorized Official Title
DIR 3D PARTY CONTRACT & CA
Authorized Official Phone
(920) 429-4726

Reviews for SHOPKO PHARMACY #2554

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659744720, enumerated as an "organization" on November 11, 2015.

The provider is located at 1203 N MAIN ST ANDREWS, TX 79714 and the phone number is (432) 523-3302.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.