ShopKo Pharmacy 091 – Community/Retail Pharmacy, NPI 1750332730

ShopKo Pharmacy 091 is a healthcare provider. based in Logan, Utah. specializing in Community/Retail Pharmacy. The organization holds a License No. 1318501703 (UT). The NPI Number for ShopKo Pharmacy 091 is 1750332730

Main info

Organization
Name
ShopKo Pharmacy 091
NPI
1750332730
Phone
(435) 753-2700
Address
1341 N MAIN ST
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 091

  • North Main Street, Lincoln, Logan County, Illinois, 62656, United States

    LOGAN, UT 843412221

    Phone: (435) 753-2700

    Fax: (435) 753-3894

    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 84341)

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Reviews

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Frequently asked questions

Can I verify ShopKo Pharmacy 091 with an NPI only?
You can start verification with NPI 1750332730 for ShopKo Pharmacy 091, then check state licensing separately.
Is ShopKo Pharmacy 091 still practicing?
ShopKo Pharmacy 091 is currently listed as active in the public NPI registry.
What is ShopKo Pharmacy 091 best known for clinically?
Directory data describes ShopKo Pharmacy 091 with Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Does ShopKo Pharmacy 091 list a practice location?
Patients near Logan, Utah may find ShopKo Pharmacy 091 in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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