Shopko Stores Operating Co Llc

NPI: 1417994161

Shopko Stores Operating Co Llc

Q: What is Shopko Stores Operating Co Llc's NPI number?

Shopko Stores Operating Co Llc's NPI number is 1417994161, a unique 10-digit identifier issued by CMS.

Q: What does Shopko Stores Operating Co Llc specialize in?

Shopko Stores Operating Co Llc specializes in Specialty not listed, taxonomy code 332B00000X.

Q: Where does Shopko Stores Operating Co Llc practice?

Shopko Stores Operating Co Llc practices in Twin Falls, ID 83301-3592.

Q: When was Shopko Stores Operating Co Llc's NPI issued?

Shopko Stores Operating Co Llc's NPI was issued on June 1, 2006.

Q: What is Shopko Stores Operating Co Llc's provider type?

Shopko Stores Operating Co Llc is an Organization under CMS NPI Type 2.

ActiveOrganizationSpecialty not listed

NPI issued: June 1, 2006

Quick Facts

NPI Number

1417994161

TypeOrganization

StatusActive

SpecialtySpecialty not listed

Taxonomy332B00000X — Specialty not listed

Phone

(208) 734-3791

StateID

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1417994161)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 1, 2006)

Data source: CMS NPPES

Provider Overview

SHOPKO STORES OPERATING CO LLC is a Healthcare provider based in Twin Falls, ID who has been registered with CMS since 2006. They are affiliated with Shopko Pharmacy 067. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417994161

Provider TypeOrganization

StatusActive

Enumeration DateJune 1, 2006

Practice Location

CityTwin Falls

StateID

ZIP Code83301-3592

Phone(208) 734-3791

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code332B00000X

License StateID

Mailing Address

CityTwin Falls

StateID

ZIP Code83301-3592

Phone(208) 734-3791

Same as practice location

Hospital & Organization Affiliations

🏢

Shopko Pharmacy 067

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How to Use This NPI

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For Insurance Billing

Use NPI 1417994161 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1417994161for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417994161 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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