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SHOPKO PHARMACY 088
NPI 1770534851
Pharmacy - Community/Retail Pharmacy in Layton, UT

Active since May 13, 2006
1150 N MAIN ST, LAYTON, UT 84041(801) 546-0404(801) 546-0765 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 088 NPPES

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

SHOPKO PHARMACY 088 (NPI 1770534851) is a healthcare organization registered as a community/retail pharmacy in Layton, Utah and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1770534851
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1150 N MAIN STLayton, UT 84041-4853
Mailing Address1150 N Main StLayton, UT 84041-4853 · (801) 546-0404 · Fax (801) 546-0765
Phone(801) 546-0404
Fax(801) 546-0765
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 13, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1770534851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 1313831703
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
1150 N MAIN ST, Layton, UT 84041
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Other Names 1

Doing Business AsShopko Pharmacy 088

Other Identifiers 5

Other4606743Ncpdp Number
Medicaid=========006UT
Medicare NSC5695760043
Medicare ID-Type Unspecified0154160073
Medicaid410985054005UT

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
1150 N MAIN ST
LAYTON, UT 84041
Davis County (801) 547-9100

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 1770534851. It was assigned to this organization in the NPPES registry on May 13, 2006. The provider is doing business as Shopko Pharmacy 088.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1150 N Main St, Layton, UT 84041. The listed phone number is (801) 546-0404.

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 August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.