Shopko Stores Operating Co LLC

Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Sandy, UT, holding Type 2 (organization) NPI 1295786572 since 2006. The authorized official on file is Russell Steinhorst, Svp Chief Financial Officer.

✓ Active NPI ✓ Valid NPI checksum

NPI	1295786572
Entity type	Organization (Type 2)
Legal business name	Shopko Stores Operating Co LLC
Other name	<Unavail>
Practice address	2165 E 9400 S, Sandy, UT, 84093
Phone	8019428555
Fax	8019439121
Enumeration date	2006-05-12
Last updated in NPPES	2016-08-29

Authorized official

Name	Russell Steinhorst
Title	Svp Chief Financial Officer
Phone	9204297489

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
332B00000X	Durable Medical Equipment & Medical Supplies	Secondary	—	—
332H00000X	Eyewear Supplier	Secondary	—	—
3336C0003X	Community/Retail Pharmacy	Primary	1313211703	UT

Other identifiers

Identifier	Type	State	Issuer
4606692	Other	—	NCPDP NUMBER
410985054019	Medicaid	UT	—

Copy-ready billing details

Provider: Shopko Stores Operating Co LLC
NPI: 1295786572
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2165 E 9400 S, Sandy, UT, 84093

Providers at this address

NPI	Name	Type	Specialty	Location
1710938071	David Later	Individual	Optometrist	Sandy, UT
1346292505	Shopko Stores Operating Co. LLC	Organization	Eyewear Supplier	Sandy, UT

Verify this record

Cross-check NPI 1295786572 against the authoritative CMS record: view Shopko Stores Operating Co LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Shopko Stores Operating Co LLC located?

The practice location on file with NPPES is in Sandy, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-29. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-08-29.