ShopKo Pharmacy 083 – Community/Retail Pharmacy, NPI 1295786572

ShopKo Pharmacy 083 is a healthcare provider. based in Sandy, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1313211703 (UT). The NPI Number for ShopKo Pharmacy 083 is 1295786572

Main info

Organization
Name
ShopKo Pharmacy 083
NPI
1295786572
Phone
(801) 942-8555
Address
2165 E 9400 S
Authorized Official
MR. RUSSELL STEINHORST SVP CHIEF FINANCIAL OFFICER
Enumeration Date
12 May 2006
Last Update Date
29 August 2016
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 083

  • 9400 South, Wallace Heights, Sandy, Salt Lake County, Utah, 84070, United States

    SANDY, UT 840933201

    Phone: (801) 942-8555

    Fax: (801) 943-9121

    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 84093)

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Reviews

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Frequently asked questions

How is ShopKo Pharmacy 083 identified in CMS data?
CMS-hosted NPPES data lists ShopKo Pharmacy 083 with NPI 1295786572.
Can I rely on ShopKo Pharmacy 083 being an active provider?
As of the registry snapshot, ShopKo Pharmacy 083 is marked active.
What is ShopKo Pharmacy 083's primary classification?
Community/Retail Pharmacy is the headline specialty for ShopKo Pharmacy 083 here. Clinical services aligned with this taxonomy classification.
Where should I expect ShopKo Pharmacy 083 on a map?
Expect Sandy, Utah as a primary anchor for ShopKo Pharmacy 083 unless the record lists multiple sites.
Is the information about ShopKo Pharmacy 083 up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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