ShopKo Pharmacy 093 – Community/Retail Pharmacy, NPI 1104878628

ShopKo Pharmacy 093 is a healthcare provider. based in Bend, Oregon. specializing in Community/Retail Pharmacy. The organization holds a License No. 1084 (OR). The NPI Number for ShopKo Pharmacy 093 is 1104878628

Main info

Organization
Name
ShopKo Pharmacy 093
NPI
1104878628
Phone
(541) 385-6076
Address
60 NE BEND RIVER MALL DR
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
16 May 2006
Last Update Date
28 October 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 093

  • Bend River Promenade, Bend, Deschutes County, Oregon, United States

    BEND, OR 977017528

    Phone: (541) 385-6076

    Fax: (541) 385-9209

    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.

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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 97701)

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Reviews

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Frequently asked questions

What identifier follows ShopKo Pharmacy 093 across health systems?
The NPI 1104878628 uniquely identifies ShopKo Pharmacy 093 in U.S. healthcare data.
Does the public listing show ShopKo Pharmacy 093 as active?
ShopKo Pharmacy 093's NPI record reflects an active status in NPPES.
What does the directory say ShopKo Pharmacy 093 does?
Insurance directories may phrase it differently, but here ShopKo Pharmacy 093 maps to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Pharmacy 093 in Bend, Oregon?
For routing, start with Bend, Oregon for ShopKo Pharmacy 093, then verify phone and hours locally.
Who maintains ShopKo Pharmacy 093's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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