Shopko Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

3833 Issued in WY

Legal business name

SHOPKO PHARMACY

Practice address

100 S 20TH St
Worland, WY 82401-3742

Phone

(307) 347-2851

NPI assigned

Sep 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chad Emmett, PHARMD

Title

Pharmacy Manager

Phone

(307) 864-3777

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1346618238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 20TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013742",
            "telephone_number": "307-347-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 20TH ST",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824013742",
            "telephone_number": "307-347-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPKO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "EMMETT",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "307-864-3777",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "3833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margery Dianna Sanchez
• Kaitlyn Sauza
• Kenneth A Shearer, MSW
• Sheridan Vamc
• Thorman E Sholey, O.D.
• Shopko Stores Operating Co LLC
• Michael Sincevich
• Rianna Sisk
• Dawn Slye
• Dorothy Smith

• Community/Retail Pharmacy in Worland, WY
• Providers in Worland, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.