SHOPKO PHARMACY 2653
NPI 1134172794
Pharmacy - Community/Retail Pharmacy in Gladwin, MI
NPI Status: Active since May 17, 2006
Contact Information
174 JAMES ROBERTSON DR
GLADWIN, MI
ZIP 48624
Phone: (989) 426-7020
Fax: (989) 426-7155
- Organization
- Pharmacy
- Community/Retail Pharmacy
About SHOPKO PHARMACY 2653
This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 2653, a provider established in Gladwin, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1134172794 assigned on May 2006. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Shopko Pharmacy 2653. The authorized official of this NPI record is Mr. Russell Steinhorst (Svp And Coo)
- NPI
- 1134172794
- Provider Legal Name
- SHOPKO STORES OPERATING CO LLC
- Other Organization Name
- SHOPKO PHARMACY 2653
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 174 JAMES ROBERTSON DR GLADWIN, MI 48624
- Location Phone
- (989) 426-7020
- Location Fax
- (989) 426-7155
- Mailing Address
- 174 JAMES ROBERTSON DR GLADWIN, MI 48624
- Mailing Phone
- (989) 426-7020
- Mailing Fax
- (989) 426-7155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 12-14-2015
- 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
- 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 | 333600000X | Suppliers | Pharmacy |
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 |
|---|---|---|---|
| 2355661 | MEDICAID (05) | MI | |
| 0P42860 | MEDICARE PIN (08) | ||
| 2355661 | OTHER (01) | NCPDP NUMBER | |
| 3247754 | MEDICAID (05) | MI | |
| 5695760219 | MEDICARE NSC (07) | ||
| 0459230053 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 4913866 | MEDICAID (05) | MI | |
| 4819283 | MEDICAID (05) | MI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 7 | 2 | 7 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 7 | 4 | 7 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 7 + 4 + 7 + 1 + 8 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1134172794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134172794, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 174 James Robertson Dr Gladwin, Mi 48624 and the phone number is (989) 426-7020
This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with 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 make sure your health plan is currently accepted.
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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