Organization
SHOPKO STORES OPERATING CO LLC
Active
Other names
ShopKo Pharmacy 038
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL STEINHORST (SVP CHIEF FINANCIAL OFFICER)
(920) 429-7489
Entity
Organization
Contact information
Practice address
2208 N WEBB RD, GRAND ISLAND, NE 68803-1739
(308) 382-6744
(308) 381-8401
Mailing address
2208 N WEBB RD, GRAND ISLAND, NE 68803-1739
(308) 382-6744
(308) 381-8401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2676
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025074300
—
NE
05
—
10025413600
—
NE
01
—
2811138
NCPDP NUMBER
—
Enumeration date
05/12/2006
Last updated
12/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us