Shopko Stores Operating Co., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SHOPKO STORES OPERATING CO., LLC

Doing business as

Shopko Pharmacy #2554

Practice address

1203 N Main St
Andrews, TX 79714-3630

Phone

(432) 523-3302

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Lorie Neumann

Title

Dir 3D Party Contract & Ca

Phone

(920) 429-4726

Specialties & licenses 3

Addresses

Other names 1

• Shopko Pharmacy #2554 Doing business as

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1659744720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 N MAIN ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 N MAIN ST",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143630",
            "telephone_number": "432-523-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPKO STORES OPERATING CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "DIR 3D PARTY CONTRACT & CA",
        "authorized_official_telephone_number": "920-429-4726"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shopko Pharmacy #2554",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liliana Ariana Salazar
• Christina M Saliba, RD, LD
• Satish Nayak, M.D., P.a
• Sears DDS PC
• Robert Earl Sears, DDS
• Paul M Slaughter, D.O.
• Christopher Alan Stansell, FNP
• Beth A Steinberger, D.O.
• Natalie Sanchez Suchil
• Summers Chiropractic Professional Association

• Community/Retail Pharmacy in Andrews, TX
• Providers in Andrews, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.