P Praxis·MD
● Active Type 2 · Organization

Shopko Stores Operating Co Llc

Pharmacy·Coeur D Alene, ID· NPI 1164477881 · Enumerated 2006 · 20 years on NPI
Shopko Stores Operating Co Llc is 1 of 397 pharmacy organizations in Idaho.
NPI age
20 years
Enumerated 2006-05-23
Primary specialty
Pharmacy
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Steinhorst
Svp Chief Financial Officer
Last NPPES update
2015-12-10
Source: monthly bulk 2026-05

How this organization compares

Across 397 active pharmacy providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 70% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
217 W Ironwood Dr
Coeur D Alene, ID 838142651
📞 2087659586fax 2087656922
Mailing address
217 W Ironwood Dr
Coeur D Alene, ID 838142651
📞 2087659586fax 2087656922

Authorized official

Russell Steinhorst
Svp Chief Financial Officer
📞 9204297489

Individual providers at this organization

5 individual providers on file at this primary practice address.

Specialties

  • Pharmacy Primary
    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...
    ID license #2037CP taxonomy 3336C0003X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Eyewear Supplier
    An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
    taxonomy 332H00000X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    ID license #2037CP taxonomy 333600000X

Identifiers

TypeValueNotes
01 1304613 NCPDP NUMBER
05 (ID) 000123200
05 (ID) 000123100
01 0034347 WA LABOR & INDUSTRY
01 0215806 WA LABOR & INDUSTRY

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ShopKo Pharmacy 069
    Type code 3 recorded 2006-05-23

Practice context

Multi-provider organization. 5 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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