ShopKo Pharmacy 097 – Community/Retail Pharmacy, NPI 1194776179

ShopKo Pharmacy 097 is a healthcare provider. based in West valley city, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1320601703 (UT). The NPI Number for ShopKo Pharmacy 097 is 1194776179

Main info

Organization
Name
ShopKo Pharmacy 097
NPI
1194776179
Phone
(801) 966-6500
Address
4850 W 3500 S
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
13 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 097

  • 4850 West, West Valley City, Salt Lake County, Utah, 84120, United States

    WEST VALLEY CITY, UT 841202927

    Phone: (801) 966-6500

    Fax: (801) 966-8805

    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 84120)

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Reviews

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Frequently asked questions

Is ShopKo Pharmacy 097 listed with a National Provider Identifier?
Yes — ShopKo Pharmacy 097 has NPI 1194776179 on file in the registry.
Is ShopKo Pharmacy 097 shown as active in public data?
Registry records indicate ShopKo Pharmacy 097 maintains an active NPI.
How would a patient describe ShopKo Pharmacy 097's focus?
For ShopKo Pharmacy 097, the primary taxonomy reads as Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Where in Utah is ShopKo Pharmacy 097 registered?
Use West Valley City, Utah as the headline location for ShopKo Pharmacy 097 here.
Does ShopKo Pharmacy 097 accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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