Shopko Pharmacy 004 is an authorized DME supplier for medicare equipments and products.
Shopko Pharmacy 004 is a Community/Retail Pharmacy in Green Bay, Wisconsin. This pharmacy is owned and operated by Shopko Stores Operating Co Llc. It is located at 2430 E Mason St, Green Bay and it's customer support contact number is 920-468-6044. The authorized person of Shopko Pharmacy 004 is Mr. Michael J Bettiga, RPH who is Sr. Vice President Health Services of the pharmacy and his contact number is 920-429-4297. Active license number of Shopko Pharmacy 004 is 8636042 for Community/Retail Pharmacy in Wisconsin. Shopko Pharmacy 004 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Pharmacy 004 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Shopko Pharmacy 004 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Shopko Pharmacy 004
Type:
Community/Retail Pharmacy
Location:
2430 E Mason St, Green Bay, Wisconsin, 54302-3759
Phone:
920-468-6044
Fax:
920-468-3490
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Mr. Michael J Bettiga
Credentials:
RPH
Position:
Sr. Vice President Health Services
Contact Number:
920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1003862442
NPI Enumeration Date:
26 May, 2006
NPI Last Update On:
14 Feb, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Pharmacy 004 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
8636042
Wisconsin
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5103926
Other
Ncpdp Number
33119300
Medicaid
Wisconsin
Medicare Enrollment:
Shopko Pharmacy 004 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0749292639
O20100930012321
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
Products Available:
Shopko Pharmacy 004 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Diabetic Shoes & Inserts: Prefabricated
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2430 E Mason St, Green Bay, Wisconsin
Zip:
54302-3759
Phone Number:
920-468-6044
Fax Number:
920-468-3490
Patients can reach Shopko Pharmacy 004 at 2430 E Mason St, Green Bay, Wisconsin or can call on customer care at 920-468-6044.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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