Shopko Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

SHOPKO PHARMACY

Practice address

1625 E Blaschko Ave
Arcadia, WI 54612-1835

Phone

(608) 323-8134

Fax

(608) 323-8434

NPI assigned

Nov 5, 2012

Last updated

Nov 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessie Bawek, RPH

Title

Pharmacist

Phone

(608) 323-8134

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1790039345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E BLASCHKO AVE",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "546121835",
            "telephone_number": "608-323-8134",
            "fax_number": "608-323-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E BLASCHKO AVE",
            "city": "ARCADIA",
            "state": "WI",
            "postal_code": "546121835",
            "telephone_number": "608-323-8134",
            "fax_number": "608-323-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOPKO PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "BAWEK",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "608-323-8134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Town Dental, LLC (Rivertown Dental)
• Scenic Bluffs Health Center, Inc (Scenic Bluffs Community Health Centers)
• School District of Arcadia
• Molly Ann Schultz, RN
• Amber Rae Semb
• Shopko Stores Operating Co LLC (Shopko Pharmacy 630)
• Mickayla Verthein
• Paul E Winey, PA C

• Pharmacy in Arcadia, WI
• Providers in Arcadia, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.