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SHOPKO PHARMACY 795
NPI 1912398736
Pharmacy - Community/Retail Pharmacy in Salmon, ID

Active since February 16, 2015
1026 S CHALLIS ST, SALMON, ID 83467(208) 742-1285(208) 742-1283 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 795 NPPES

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

SHOPKO PHARMACY 795 (NPI 1912398736) is a healthcare organization registered as a community/retail pharmacy in Salmon, Idaho and active in the NPI registry since February 2015. The organization lists Lorie Neumann, Dir 3d Party Contract & Ca, as its authorized official.

NPPES Registry Identity

NPI1912398736
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO., LLC
Location Address1026 S CHALLIS STSalmon, ID 83467-5441
Mailing Address1026 S Challis StSalmon, ID 83467-5441 · (208) 742-1285 · Fax (208) 742-1283
Phone(208) 742-1285
Fax(208) 742-1283
Organization SubpartNo
Authorized OfficialLorie NeumannDir 3d Party Contract & Ca · (920) 429-4726
Enumeration DateFebruary 16, 2015
Last NPPES UpdateJuly 7, 2015
✔ NPI 1912398736 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
1026 S CHALLIS ST, Salmon, ID 83467
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Other Names 1

Doing Business AsShopko Pharmacy 795

Other Identifiers 2

Medicaid1912398736ID
Medicare NSC5695760295

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAMI THIMONS RPH
Pharmacist
1026 S CHALLIS ST
SALMON, ID 83467
Lemhi County (208) 742-1285
MS. CATHERINE COCHRAN RPH
Pharmacist
1026 S CHALLIS ST
SALMON, ID 83467
Lemhi County (208) 742-1285
MARLA HUNTEMAN
Pharmacist
1026 S CHALLIS ST
SALMON, ID 83467
Lemhi County (208) 756-1285

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 1912398736. It was assigned to this organization in the NPPES registry on February 16, 2015. The provider is doing business as Shopko Pharmacy 795.

Where is Shopko Stores Operating Co., LLC located?

Shopko Stores Operating Co., LLC is located at 1026 S Challis St, Salmon, ID 83467. The listed phone number is (208) 742-1285.

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 July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.