SHOPKO PHARMACY #2205
NPI 1740736586
Pharmacy - Community/Retail Pharmacy in Delta, UT

Active since August 31, 2016
94 NORTH 400 EAST, DELTA, UT 84624(920) 429-4726 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 15, 2016, Aug 31, 2016 (2 updates tracked since 2016).

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SHOPKO PHARMACY #2205

This page provides the complete NPI Profile along with additional information for Shopko Pharmacy #2205, a provider established in Delta, Utah operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1740736586 assigned on August 2016. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Shopko Pharmacy #2205. The authorized official of this NPI record is Lorie Neumann (Director Of Third Party)

NPI
1740736586 Verify this NPI
Provider Legal Name
SHOPKO STORES OPERATING CO LLC
Other Organization Name
SHOPKO PHARMACY #2205
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
94 NORTH 400 EAST DELTA, UT 84624
Location Phone
(920) 429-4726
Mailing Address
94 NORTH 400 EAST DELTA, UT 84624
Mailing Phone
(920) 429-4726
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2016
Last Update Date
11-15-2016
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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

 

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
DIRECTOR OF THIRD PARTY
Authorized Official Phone

Reviews for SHOPKO PHARMACY #2205

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740736586, enumerated as an "organization" on August 31, 2016.

The provider is located at 94 NORTH 400 EAST DELTA, UT 84624 and the phone number is (920) 429-4726.

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