OrganizationActive
Shopko Stores Operating Co LLC
NPI 1649726076 · Community/Retail Pharmacy · Ballard, UT
Provider details
- NPI number
- 1649726076
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lorie Neumann, Director of Third Party(920) 429-4726
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1635 E Highway 40
Ballard, UT 84066-5217
Phone: (920) 429-4726
Approximate (ZIP-level) locationGet directions
Mailing address
1635 E Highway 40
Ballard, UT 84066-5217
Other names (DBA / former)
- Doing business as
- Shopko Pharmacy 798
Registry dates
- Enumerated
- 2016-08-26
- Last updated
- 2016-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.