ShopKo Pharmacy 085 – Community/Retail Pharmacy, NPI 1619928793

ShopKo Pharmacy 085 is a healthcare provider. based in Salt lake city, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1313471703 (UT). The NPI Number for ShopKo Pharmacy 085 is 1619928793

Main info

Organization
Name
ShopKo Pharmacy 085
NPI
1619928793
Phone
(801) 967-5100
Address
5800 S REDWOOD RD
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 085

  • Redwood Road, Jordan Meadows, Salt Lake City, Salt Lake County, Utah, 84134, United States

    SALT LAKE CITY, UT 841235327

    Phone: (801) 967-5100

    Fax: (801) 964-8201

    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 84123)

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Reviews

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Frequently asked questions

How do payers reference ShopKo Pharmacy 085?
For ShopKo Pharmacy 085, use NPI 1619928793 as the unique 10-digit identifier.
Would ShopKo Pharmacy 085 appear as active to a payer?
You can treat ShopKo Pharmacy 085 as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ShopKo Pharmacy 085's focus?
For ShopKo Pharmacy 085, the primary taxonomy reads as Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Where in Utah is ShopKo Pharmacy 085 registered?
Use Salt Lake City, Utah as the headline location for ShopKo Pharmacy 085 here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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