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SHOPKO PHARMACY 584
NPI 1821441205
Pharmacy - Community/Retail Pharmacy in Bonners Ferry, ID

Active since July 20, 2016
6355 MAIN ST, BONNERS FERRY, ID 83805(920) 429-4726 Get Directions Write a Review

NPPES record last updated: December 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 584 NPPES

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

SHOPKO PHARMACY 584 (NPI 1821441205) is a healthcare organization registered as a community/retail pharmacy in Bonners Ferry, Idaho and active in the NPI registry since July 2016. The organization lists Lorie Neumann, Director Of Third Party, as its authorized official.

NPPES Registry Identity

NPI1821441205
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address6355 MAIN STBonners Ferry, ID 83805-8519
Mailing Address6355 Main StBonners Ferry, ID 83805-8519 · (920) 429-4726
Phone(920) 429-4726
Organization SubpartNo
Authorized OfficialLorie NeumannDirector Of Third Party · (920) 429-4726
Enumeration DateJuly 20, 2016
Last NPPES UpdateDecember 8, 2016
✔ NPI 1821441205 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
6355 MAIN ST, Bonners Ferry, ID 83805
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Other Names 1

Doing Business AsShopko Pharmacy 584

Other Identifiers 1

Medicare NSC5695760304ID

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 1821441205. It was assigned to this organization in the NPPES registry on July 20, 2016. The provider is doing business as Shopko Pharmacy 584.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 6355 Main St, Bonners Ferry, ID 83805. The listed phone number is (920) 429-4726.

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 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.