SHOPKO PHARMACY 605
NPI 1568761484
Pharmacy - Community/Retail Pharmacy in Mora, MN

NPI Status: Active since March 17, 2011

Contact Information

340 HIGHWAY 65 S
MORA, MN
ZIP 55051
Phone: (320) 679-5950
Fax: (320) 679-5956

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About SHOPKO PHARMACY 605

This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 605, a provider established in Mora, Minnesota operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1568761484 assigned on March 2011. The practitioner's primary taxonomy code is 3336C0003X with license number 263662 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Shopko Pharmacy 605. The authorized official of this NPI record is Michael Bettiga Rph (Executive Vice President And Coo)

NPI
1568761484
Provider Legal Name
SHOPKO STORES OPERATING CO LLC
Other Organization Name
SHOPKO PHARMACY 605
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
340 HIGHWAY 65 S MORA, MN 55051
Location Phone
(320) 679-5950
Location Fax
(320) 679-5956
Mailing Address
340 HIGHWAY 65 S MORA, MN 55051
Mailing Phone
(320) 679-5950
Mailing Fax
(320) 679-5956
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2011
Last Update Date
03-17-2011
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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.
263662
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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
2333600000XSuppliers

Pharmacy

 

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

MICHAEL BETTIGA RPH

Authorized Official Title
EXECUTIVE VICE PRESIDENT AND COO
Authorized Official Phone
(920) 429-4297

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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.
1568761484
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281462416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 6 + 2 + 4 + 1 + 6 + 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 = 44

The NPI number 1568761484 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588618706PAMIDA STORES OPERATING CO LLC
Organization
Pharmacy (Community/Retail Pharmacy)340 HIGHWAY 65 S
MORA, MN 55051
(320) 679-5950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568761484, enumerated in the NPI registry as an "organization" on March 17, 2011

The provider is located at 340 Highway 65 S Mora, Mn 55051 and the phone number is (320) 679-5950

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

This NPI record was last updated on March 17, 2011. 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.