OrganizationActive
Shopko
NPI 1184051948 · Community/Retail Pharmacy · Green Bay, WI
Shopko is a Community/Retail Pharmacy organization in Green Bay, WI (NPI 1184051948).
Provider details
- NPI number
- 1184051948
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gena Trast, Pharmacist(920) 499-5889
- License
- 051-039854 (WI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 Bay Park Sq
Green Bay, WI 54304-5104
Phone: (920) 499-5889
Street-level locationGet directions
Mailing address
301 Bay Park Sq
Green Bay, WI 54304-5104
Registry dates
- Enumerated
- 2013-10-10
- Last updated
- 2013-10-10
Frequently asked questions
- What is Shopko's NPI number?
- Shopko's National Provider Identifier (NPI) is 1184051948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shopko?
- Shopko is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Shopko located?
- Shopko's practice location on file with NPPES is 301 Bay Park Sq, Green Bay, WI 54304-5104.
- What is Shopko's phone number?
- The practice phone number listed in the NPPES registry for Shopko is (920) 499-5889.
- Who is the authorized official for Shopko?
- The authorized official listed on Shopko's NPPES record is Gena Trast, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shopko's NPI active?
- Yes — Shopko's NPI (1184051948) is active in the NPPES registry as of the last update on 2013-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.