SHOPKO PHARMACY 134
NPI 1912946963
Pharmacy - Community/Retail Pharmacy in Pullman, WA
NPI Status: Active since June 05, 2006
Contact Information
1450 S GRAND AVE
PULLMAN, WA
ZIP 99163
Phone: (509) 332-0503
Fax: (509) 332-0233
- Organization
- Pharmacy
- Community/Retail Pharmacy
About SHOPKO PHARMACY 134
This page provides the complete NPI Profile along with additional information for Shopko Pharmacy 134, a provider established in Pullman, Washington operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1912946963 assigned on June 2006. The practitioner's primary taxonomy code is 3336C0003X with license number CF00058645 (WA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Shopko Pharmacy 134. The authorized official of this NPI record is Mr. Michael J Bettiga Rph (Sr. Vice President Health Services)
- NPI
- 1912946963
- Provider Legal Name
- SHOPKO STORES OPERATING CO LLC
- Other Organization Name
- SHOPKO PHARMACY 134
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1450 S GRAND AVE PULLMAN, WA 99163
- Location Phone
- (509) 332-0503
- Location Fax
- (509) 332-0233
- Mailing Address
- 1450 S GRAND AVE PULLMAN, WA 99163
- Mailing Phone
- (509) 332-0503
- Mailing Fax
- (509) 332-0233
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-05-2006
- Last Update Date
- 06-06-2014
- 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.
- CF00058645
- License State
- WA
- 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 |
|---|---|---|---|
| 4925179 | OTHER (01) | NCPDP NUMBER | |
| 0154160248 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 0107798 | OTHER (01) | WA LABOR & INDUSTRY | |
| 5695760078 | MEDICARE NSC (07) | ||
| 0215812 | OTHER (01) | WA LABOR & INDUSTRY | |
| 0006018527 | MEDICAID (05) | WA |
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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 | 9 | 1 | 2 | 9 | 4 | 6 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 18 | 4 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 1 + 8 + 4 + 1 + 2 + 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 1912946963 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 |
|---|---|---|---|
| 1912956848 | MRS. ELIZABETH ANN BAKKEN PHARMACIST Individual | Pharmacist | 1450 S GRAND AVE PULLMAN, WA 99163 (509) 332-0602 |
| 1801848924 | SHOPKO STORES OPERATING CO. LLC Organization | Eyewear Supplier | 1450 S GRAND AVE PULLMAN, WA 99163 (509) 332-0820 |
| 1023383627 | MRS. MARGARET R IGIELSKI PHARM D Individual | Pharmacist | 1450 S GRAND AVE PULLMAN, WA 99163 (509) 332-0503 |
| 1174871453 | MR. ROBERT ALLEN DELROSARIO RPH Individual | Pharmacist | 1450 S GRAND AVE PULLMAN, WA 99163 (509) 332-0503 |
| 1528010121 | DR. TANYA D REID O.D. Individual | Optometrist | 1450 S GRAND AVE PULLMAN, WA 99163 (509) 332-0820 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912946963, enumerated in the NPI registry as an "organization" on June 05, 2006
The provider is located at 1450 S Grand Ave Pullman, Wa 99163 and the phone number is (509) 332-0503
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 June 05, 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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