ShopKo Pharmacy 140 – Community/Retail Pharmacy, NPI 1912933961

ShopKo Pharmacy 140 is a healthcare provider. based in Jacksonville, Illinois. specializing in Community/Retail Pharmacy. The organization holds a License No. 054015893 (IL). The NPI Number for ShopKo Pharmacy 140 is 1912933961

Main info

Organization
Name
ShopKo Pharmacy 140
NPI
1912933961
Phone
(217) 245-6259
Address
1964 W MORTON AVE
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
23 June 2006
Last Update Date
22 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Pharmacy 140

  • 1964, West Morton Avenue, Jacksonville, Morgan County, Illinois, 62650, United States

    JACKSONVILLE, IL 626502621

    Phone: (217) 245-6259

    Fax: (217) 243-9251

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62650)

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Reviews

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Frequently asked questions

What federal number belongs to ShopKo Pharmacy 140?
The federal identifier for ShopKo Pharmacy 140 is NPI 1912933961.
Is ShopKo Pharmacy 140's NPI currently valid?
The extract we use shows ShopKo Pharmacy 140 as active.
What does ShopKo Pharmacy 140 treat or focus on?
Patients typically see ShopKo Pharmacy 140 under the specialty Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What location metadata exists for ShopKo Pharmacy 140?
The page summarizes Jacksonville, Illinois for ShopKo Pharmacy 140; expand the address list for detail.
Is ShopKo Pharmacy 140 a real provider?
This page reflects official NPPES data for NPI 1912933961. Always confirm identity and privileges with the practice and licensing boards.

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