SHOPKO PHARMACY 2214
NPI 1255864963
Pharmacy - Community/Retail Pharmacy in Wautoma, WI
NPI Status: Active since April 10, 2017
Contact Information
N2934 STATE ROAD 22
WAUTOMA, WI
ZIP 54982
Phone: (920) 429-4726
- Organization
- Pharmacy
- Community/Retail Pharmacy
About SHOPKO PHARMACY 2214
This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 2214, a provider established in Wautoma, Wisconsin operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1255864963 assigned on April 2017. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Shopko Pharmacy 2214. The authorized official of this NPI record is Lorie Neumann (Contracting And Cred)
- NPI
- 1255864963
- Provider Legal Name
- SHOPKO STORES OPERATING CO., LLC
- Other Organization Name
- SHOPKO PHARMACY 2214
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- N2934 STATE ROAD 22 WAUTOMA, WI 54982
- Location Phone
- (920) 429-4726
- Mailing Address
- N2934 STATE ROAD 22 WAUTOMA, WI 54982
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2017
- Last Update Date
- 04-10-2017
- 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 |
Reviews for SHOPKO PHARMACY 2214
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 2 | 5 | 5 | 8 | 6 | 4 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 16 | 6 | 8 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 6 + 6 + 8 + 9 + 1 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1255864963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417133984 | MR. ERIC FOSS RPH Individual | Pharmacist | N2934 STATE ROAD 22 WAUTOMA, WI 54982 (920) 787-5757 |
| 1780973826 | COMMUNITY HEALTH NETWORK Organization | Family Medicine | N2934 STATE ROAD 22 WAUTOMA, WI 54982 (920) 787-4613 |
| 1548666902 | ERIKA NIZNIK PHARMD Individual | Pharmacist | N2934 STATE ROAD 22 WAUTOMA, WI 54982 (920) 787-5757 |
| 1962475434 | JOHN P. MODRZYNSKI M.D. Individual | Family Medicine | N2934 STATE ROAD 22 WAUTOMA, WI 54982 (920) 787-4613 |
| 1700195567 | MRS. LAURA L BAEHNMAN APNP Individual | Nurse Practitioner (Family) | N2934 STATE ROAD 22 WAUTOMA, WI 54982 (920) 787-4613 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255864963, enumerated in the NPI registry as an "organization" on April 10, 2017
The provider is located at N2934 State Road 22 Wautoma, Wi 54982 and the phone number is (920) 429-4726
This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy
This NPI record was last updated on April 10, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.