SHOPKO PHARMACY 059
NPI 1972557767
Pharmacy - Community/Retail Pharmacy in Fairmont, MN
NPI Status: Active since May 19, 2006
Contact Information
1001 HIGHWAY 15 S
FAIRMONT, MN
ZIP 56031
Phone: (507) 238-9488
Fax: (507) 238-9038
- Organization
- Pharmacy
- Community/Retail Pharmacy
About SHOPKO PHARMACY 059
This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 059, a provider established in Fairmont, Minnesota operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1972557767 assigned on May 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 2628053 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Shopko Pharmacy 059. The authorized official of this NPI record is Mr. Michael J Bettiga Rph (Sr. Vice President Health Services)
- NPI
- 1972557767
- Provider Legal Name
- SHOPKO STORES OPERATING CO LLC
- Other Organization Name
- SHOPKO PHARMACY 059
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1001 HIGHWAY 15 S FAIRMONT, MN 56031
- Location Phone
- (507) 238-9488
- Location Fax
- (507) 238-9038
- Mailing Address
- 1001 HIGHWAY 15 S FAIRMONT, MN 56031
- Mailing Phone
- (507) 238-9488
- Mailing Fax
- (507) 238-9038
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 06-11-2014
- Code Navigator
Location Map
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.
- 2628053
- License State
- MN
- 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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 2 | 332H00000X | Suppliers | 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.
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 |
|---|---|---|---|
| 1972557767 | MEDICAID (05) | IA | |
| 2416748 | OTHER (01) | NCPDP NUMBER | |
| 854687000 | MEDICAID (05) | MN | |
| 969857400 | MEDICAID (05) | MN | |
| 662688200 | MEDICAID (05) | MN | |
| 5695760095 | MEDICARE NSC (07) | ||
| 0154160023 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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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 1972557767, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972557767, enumerated as an "organization" on May 19, 2006.
The provider is located at 1001 HIGHWAY 15 S FAIRMONT, MN 56031 and the phone number is (507) 238-9488.
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.
