ShopKo Pharmacy 094 – Durable Medical Equipment & Medical Supplies, NPI 1720030240

Durable Medical Equipment & Medical Supplies

ShopKo Pharmacy 094 is a healthcare provider. based in Eugene, Oregon. specializing in Durable Medical Equipment & Medical Supplies. The organization holds a License No. 1085 (OR). The NPI Number for ShopKo Pharmacy 094 is 1720030240

Main info

Organization

Name

ShopKo Pharmacy 094

NPI

1720030240

Phone

(541) 686-0849

Address

955 BAILEY HILL RD

Authorized Official

MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH

Enumeration Date

16 May 2006

Last Update Date

11 September 2025

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience59

Completeness90

Years active:20State licenses:1Digital endpoints

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Provider Addresses for ShopKo Pharmacy 094

955, Bailey Hill Road, Bethel, Eugene, Lane County, Oregon, 97402, United States
EUGENE, OR 974025486
Phone: (541) 686-0849
Fax: (541) 687-7979
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 97402)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for ShopKo Pharmacy 094?

ShopKo Pharmacy 094 — NPI 1720030240 — is the standard way to identify this listing.

Can I rely on ShopKo Pharmacy 094 being an active provider?

As of the registry snapshot, ShopKo Pharmacy 094 is marked active.

What taxonomy line describes ShopKo Pharmacy 094?

For research purposes, treat ShopKo Pharmacy 094 as Durable Medical Equipment & Medical Supplies in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect ShopKo Pharmacy 094 on a map?

Expect Eugene, Oregon as a primary anchor for ShopKo Pharmacy 094 unless the record lists multiple sites.

Why does ShopKo Pharmacy 094 have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.