ShopKo Pharmacy 084 – Community/Retail Pharmacy, NPI 1669423737

ShopKo Pharmacy 084 is a healthcare provider. based in West jordan, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1313331703 (UT). The NPI Number for ShopKo Pharmacy 084 is 1669423737

Main info

Organization
Name
ShopKo Pharmacy 084
NPI
1669423737
Phone
(801) 562-5400
Address
1553 W 9000 S
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
13 May 2006
Last Update Date
5 March 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 084

  • Sportsman's Warehouse Corporate Office, 1475 W, 9000 South, West Jordan, Salt Lake County, Utah, 84088, United States

    WEST JORDAN, UT 840889219

    Phone: (801) 562-5400

    Fax: (801) 255-5669

    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 84088)

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Reviews

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Frequently asked questions

What identifier follows ShopKo Pharmacy 084 across health systems?
The NPI 1669423737 uniquely identifies ShopKo Pharmacy 084 in U.S. healthcare data.
Should I treat ShopKo Pharmacy 084 as an active provider?
Patients and plans typically see ShopKo Pharmacy 084 as active in the national extract.
How should patients interpret ShopKo Pharmacy 084's specialty?
The extract shows Community/Retail Pharmacy for ShopKo Pharmacy 084. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ShopKo Pharmacy 084?
ShopKo Pharmacy 084 is associated with West Jordan, Utah in the same public data insurers reference.
Can I export ShopKo Pharmacy 084's record?
You can download the official NPPES record; we summarize key fields for readability.

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