SHOPKO PHARMACY 145
NPI 1912933813
Pharmacy - Community/Retail Pharmacy in Monmouth, IL

Active since June 23, 2006
1190 N 6TH ST, MONMOUTH, IL 61462(309) 734-7579(309) 734-8111 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 145 NPPES

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

SHOPKO PHARMACY 145 (NPI 1912933813) is a healthcare organization registered as a community/retail pharmacy in Monmouth, Illinois and active in the NPI registry since June 2006. The organization lists Russell Steinhorst, Svp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1912933813
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1190 N 6TH STMonmouth, IL 61462-9672
Mailing Address1190 N 6th StMonmouth, IL 61462-9672 · (309) 734-7579 · Fax (309) 734-8111
Fax(309) 734-8111
Organization SubpartNo
Authorized OfficialRussell SteinhorstSvp Chief Financial Officer · (920) 429-7489
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 23, 2016
NPI 1912933813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in IL · 054015892
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 ListedEyewear SupplierTaxonomy 332H00000X
1190 N 6TH ST, Monmouth, IL 61462

Other Names 1

Doing Business AsShopko Pharmacy 145

Other Identifiers 5

Medicare ID-Type Unspecified0154160273
Medicare NSC5695760133
Medicaid=========003IL
Other1468695Ncpdp Number
Medicaid371110040145IL

Other Providers at the Same Location NPPES 2

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

Eyewear Supplier
1190 N 6TH ST
MONMOUTH, IL 61462
Pharmacist
1190 N 6TH ST
MONMOUTH, IL 61462

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 1912933813. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is doing business as Shopko Pharmacy 145.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1190 N 6th St, Monmouth, IL 61462. The listed phone number is (309) 734-7579.

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 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.