Shopko Pharmacy 647 is an authorized DME supplier for medicare equipments and products.
Shopko Pharmacy 647 is a Community/Retail Pharmacy in Syracuse, Indiana. This pharmacy is owned and operated by Shopko Stores Operating Co Llc. It is located at 1101 N Indiana Ave, Syracuse and it's customer support contact number is 574-457-3109. The authorized person of Shopko Pharmacy 647 is Mr. Michael Bettiga, RPH who is Executive Vice President & Coo of the pharmacy and his contact number is 920-429-4297.Shopko Pharmacy 647 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shopko Pharmacy 647 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 647 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 647
Type:
Community/Retail Pharmacy
Location:
1101 N Indiana Ave, Syracuse, Indiana, 46567-1019
Phone:
574-457-3109
Fax:
574-457-3186
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 Bettiga
Credentials:
RPH
Position:
Executive Vice President & Coo
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:
1013946250
NPI Enumeration Date:
01 Jul, 2006
NPI Last Update On:
15 Oct, 2012
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 647 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
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
1536690
Other
Ncpdp
200445250A
Medicaid
Indiana
Medicare Enrollment:
Shopko Pharmacy 647 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
O20121005000255
Shopko Stores Operating Co Llc
DME SUPPLIER - PHARMACY
0749292639
O20140428000683
Shopko Stores Operating Co Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Shopko Pharmacy 647 has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Diabetic Shoes & Inserts: Prefabricated
Ostomy Supplies
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1101 N Indiana Ave, Syracuse, Indiana
Zip:
46567-1019
Phone Number:
574-457-3109
Fax Number:
574-457-3186
Patients can reach Shopko Pharmacy 647 at 1101 N Indiana Ave, Syracuse, Indiana or can call on customer care at 574-457-3109.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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