Shopko Pharmacy 017 is an authorized DME supplier for medicare equipments and products.
Shopko Pharmacy 017 is a Community/Retail Pharmacy in Saint Cloud, Minnesota. This pharmacy is owned and operated by Shopko Stores Operating Co Llc. It is located at 4161 2nd St S, Saint Cloud and it's customer support contact number is 320-253-3280. The authorized person of Shopko Pharmacy 017 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 017 is 2627960 for Community/Retail Pharmacy in Minnesota. Shopko Pharmacy 017 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Pharmacy 017 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 017 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 017
Type:
Community/Retail Pharmacy
Location:
4161 2nd St S, Saint Cloud, Minnesota, 56301-3761
Phone:
320-253-3280
Fax:
320-253-5790
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:
1609829464
NPI Enumeration Date:
19 May, 2006
NPI Last Update On:
22 May, 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 017 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2627960
Minnesota
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Eyewear Supplier (equipment, Not The Service)
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
606234200
Medicaid
Minnesota
625857300
Medicaid
Minnesota
0154160058
Medicaid
Minnesota
2414249
Other
Ncpdp Number
578612000
Medicaid
Minnesota
Medicare Enrollment:
Shopko Pharmacy 017 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
O20100804000942
Shopko Stores Operating Co Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
0749292639
O20100930010094
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
Products Available:
Shopko Pharmacy 017 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Diabetic Shoes & Inserts: Prefabricated
Prosthetic Lenses: Conventional Contact Lenses
Prosthetic Lenses: Conventional Eyeglasses
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4161 2nd St S, Saint Cloud, Minnesota
Zip:
56301-3761
Phone Number:
320-253-3280
Fax Number:
320-253-5790
Patients can reach Shopko Pharmacy 017 at 4161 2nd St S, Saint Cloud, Minnesota or can call on customer care at 320-253-3280.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
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