ShopKo Pharmacy 092 – Community/Retail Pharmacy, NPI 1053351486

ShopKo Pharmacy 092 is a healthcare provider. based in Kennewick, Washington. specializing in Community/Retail Pharmacy. The organization holds a License No. CF00058647 (WA). The NPI Number for ShopKo Pharmacy 092 is 1053351486

Main info

Organization
Name
ShopKo Pharmacy 092
NPI
1053351486
Phone
(509) 736-0505
Address
867 N COLUMBIA CENTER BLVD
Authorized Official
MR. MICHAEL J BETTIGA SR. VICE PRESIDENT HEALTH SERVICES RPH
Enumeration Date
7 June 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 092

  • Columbia Center Boulevard, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993367771

    Phone: (509) 736-0505

    Fax: (509) 783-0214

    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 99336)

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Reviews

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Frequently asked questions

What identifier follows ShopKo Pharmacy 092 across health systems?
The NPI 1053351486 uniquely identifies ShopKo Pharmacy 092 in U.S. healthcare data.
Does the public listing show ShopKo Pharmacy 092 as active?
ShopKo Pharmacy 092's NPI record reflects an active status in NPPES.
What type of care does ShopKo Pharmacy 092 provide?
ShopKo Pharmacy 092's profile centers on Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is ShopKo Pharmacy 092 tied to Kennewick, Washington?
If you are local to Kennewick, Washington, ShopKo Pharmacy 092 may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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