ShopKo Pharmacy 108 – Community/Retail Pharmacy, NPI 1053362038

ShopKo Pharmacy 108 is a healthcare provider. based in Spanish fork, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1327511703 (UT). The NPI Number for ShopKo Pharmacy 108 is 1053362038

Main info

Organization
Name
ShopKo Pharmacy 108
NPI
1053362038
Phone
(801) 798-3529
Address
955 N MAIN ST
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
13 May 2006
Last Update Date
6 June 2014
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 108

  • The Hive Trampoline & Adventure Park, 955, North Main Street, Spanish Fork, Utah County, Utah, 84660, United States

    SPANISH FORK, UT 846601150

    Phone: (801) 798-3529

    Fax: (801) 798-1182

    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 84660)

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Reviews

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Frequently asked questions

What is the standard ID for ShopKo Pharmacy 108 in the U.S.?
In the U.S., ShopKo Pharmacy 108 is identified by NPI 1053362038.
Does the public listing show ShopKo Pharmacy 108 as active?
ShopKo Pharmacy 108's NPI record reflects an active status in NPPES.
How should patients interpret ShopKo Pharmacy 108's specialty?
The extract shows Community/Retail Pharmacy for ShopKo Pharmacy 108. Clinical services aligned with this taxonomy classification.
Can patients visit ShopKo Pharmacy 108 in Spanish Fork, Utah?
For routing, start with Spanish Fork, Utah for ShopKo Pharmacy 108, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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