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

NPI Status: Active since June 23, 2006

Contact Information

1190 N 6TH ST
MONMOUTH, IL
ZIP 61462
Phone: (309) 734-7579
Fax: (309) 734-8111

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SHOPKO PHARMACY 145

This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 145, a provider established in Monmouth, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1912933813 assigned on June 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 054015892 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Shopko Pharmacy 145. The authorized official of this NPI record is Mr. Russell Steinhorst (Svp Chief Financial Officer)

NPI
1912933813
Provider Legal Name
SHOPKO STORES OPERATING CO LLC
Other Organization Name
SHOPKO PHARMACY 145
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1190 N 6TH ST MONMOUTH, IL 61462
Location Phone
(309) 734-7579
Location Fax
(309) 734-8111
Mailing Address
1190 N 6TH ST MONMOUTH, IL 61462
Mailing Phone
(309) 734-7579
Mailing Fax
(309) 734-8111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
12-23-2016
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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
License No.
054015892
License State
IL
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

 
2332H00000XSuppliers

Eyewear Supplier

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. RUSSELL STEINHORST

Authorized Official Title
SVP CHIEF FINANCIAL OFFICER
Authorized Official Phone
(920) 429-7489

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0154160273MEDICARE ID-TYPE UNSPECIFIED (04) 
5695760133MEDICARE NSC (07) 
=========003MEDICAID (05)IL 
1468695OTHER (01)NCPDP NUMBER
371110040145MEDICAID (05)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912933813, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 3 + 6 + 8 + 2 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1912933813.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912933813, enumerated as an "organization" on June 23, 2006.

The provider is located at 1190 N 6TH ST MONMOUTH, IL 61462 and the phone number is (309) 734-7579.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.