ShopKo Pharmacy 110 – Community/Retail Pharmacy, NPI 1306897384

ShopKo Pharmacy 110 is a healthcare provider. based in Salt lake city, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1332031703 (UT). The NPI Number for ShopKo Pharmacy 110 is 1306897384

Main info

Organization
Name
ShopKo Pharmacy 110
NPI
1306897384
Phone
(801) 467-8900
Address
2290 S 1300 E
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
13 May 2006
Last Update Date
14 August 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ShopKo Pharmacy 110

  • 1300 East, Sugar House, Salt Lake City, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841062831

    Phone: (801) 467-8900

    Fax: (801) 467-8291

    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 84106)

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Reviews

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Frequently asked questions

Can I cross-check ShopKo Pharmacy 110 using NPI 1306897384?
NPI 1306897384 belongs to ShopKo Pharmacy 110; compare other details if you need extra assurance.
Active or inactive — what applies to ShopKo Pharmacy 110?
You should see ShopKo Pharmacy 110 as active in CMS-hosted NPPES data.
What clinical focus is listed for ShopKo Pharmacy 110?
At a glance, ShopKo Pharmacy 110 is tied to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is ShopKo Pharmacy 110 associated with Salt Lake City?
Public fields place ShopKo Pharmacy 110 around Salt Lake City, Utah. Always confirm the exact site before visiting.
Does ShopKo Pharmacy 110 accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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