Shopko Pharmacy 111 is an authorized DME supplier for medicare equipments and products.
Shopko Pharmacy 111 is a Community/Retail Pharmacy in Salem, Oregon. This pharmacy is owned and operated by Shopko Stores Operating Co Llc. It is located at 1230 Lancaster Dr Se, Salem and it's customer support contact number is 503-371-6830. The authorized person of Shopko Pharmacy 111 is Mr. Russell Steinhorst who is Svp Chief Financial Officer of the pharmacy and his contact number is 920-429-7489. Active license number of Shopko Pharmacy 111 is 1193 for Community/Retail Pharmacy in Oregon. Shopko Pharmacy 111 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Pharmacy 111 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 111 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 111
Type:
Community/Retail Pharmacy
Location:
1230 Lancaster Dr Se, Salem, Oregon, 97317-5800
Phone:
503-371-6830
Fax:
503-371-8159
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. Russell Steinhorst
Position:
Svp Chief Financial Officer
Contact Number:
920-429-7489
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:
1639121155
NPI Enumeration Date:
16 May, 2006
NPI Last Update On:
06 Apr, 2016
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 111 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1193
Oregon
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
3810721
Other
Ncpdp Number
278347
Medicaid
Oregon
038658
Medicaid
Oregon
278380
Medicaid
Oregon
Medicare Enrollment:
Shopko Pharmacy 111 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
O20080721000338
Shopko Stores Operating Co Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
0749292639
O20100930023881
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
Products Available:
Shopko Pharmacy 111 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
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:
1230 Lancaster Dr Se, Salem, Oregon
Zip:
97317-5800
Phone Number:
503-371-6830
Fax Number:
503-371-8159
Patients can reach Shopko Pharmacy 111 at 1230 Lancaster Dr Se, Salem, Oregon or can call on customer care at 503-371-6830.
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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