ShopKo Pharmacy 044 – Community/Retail Pharmacy, NPI 1053362400

ShopKo Pharmacy 044 is a healthcare provider. based in Omaha, Nebraska. specializing in Community/Retail Pharmacy. The organization holds a License No. 2678 (NE). The NPI Number for ShopKo Pharmacy 044 is 1053362400

Main info

Organization
Name
ShopKo Pharmacy 044
NPI
1053362400
Phone
(402) 391-6299
Address
3020 S 84TH ST
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
12 May 2006
Last Update Date
27 August 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Pharmacy 044

  • 3020, South 84th Street, Omaha, Douglas County, Nebraska, 68124, United States

    OMAHA, NE 681243215

    Phone: (402) 391-6299

    Fax: (402) 391-3335

    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 68124)

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Reviews

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Frequently asked questions

What NPI should I save for ShopKo Pharmacy 044?
Save NPI 1053362400 if you need a stable reference for ShopKo Pharmacy 044.
Is ShopKo Pharmacy 044's NPI currently valid?
The extract we use shows ShopKo Pharmacy 044 as active.
Does ShopKo Pharmacy 044 list a primary specialty?
If you are matching referrals, note Community/Retail Pharmacy for ShopKo Pharmacy 044. Clinical services aligned with this taxonomy classification.
Where does public data place ShopKo Pharmacy 044?
The snapshot lists Omaha, Nebraska for ShopKo Pharmacy 044; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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