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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Marinette, WI · enumerated 2016 · authorized official Jannie Paschal, Vp Managed Care.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306397773

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 2820 Roosevelt Rd, Marinette, WI, 54143
Enumeration date Oct 20, 2016
Last updated in NPPES Apr 27, 2018

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Jannie Paschal
Title Vp Managed Care

Other identifiers

Identifier Type State Issuer
1306397773 Medicaid WI -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-27. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co LLC located?
The practice location on file with NPPES is in Marinette, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-27.