Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shopko Stores Operating Co LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1295786572

Shopko Stores Operating Co LLC is a Durable Medical Equipment & Medical Supplies in Sandy, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2165 E 9400 S
Sandy, UT 84093-3201
Phone: (801) 942-8555
Fax: (801) 943-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1313211703 (UT)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Eyewear Supplier Taxonomy 332H00000X

Record details

NPI number1295786572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Steinhorst — Svp Chief Financial Officer · (920) 429-7489
Other names Shopko Pharmacy 083
NPI enumeratedMay 12, 2006
Last updated in NPPESAugust 29, 2016
Mailing address2165 E 9400 S, Sandy, UT 84093-3201

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