Shopko Stores Operating Co LLC
Shopko Stores Operating Co LLC is a healthcare organization registered as Community/Retail Pharmacy in Escanaba, MI, holding Type 2 (organization) NPI 1396796892 since 2006. The authorized official on file is Russell Steinhorst, Svp and Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396796892 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shopko Stores Operating Co LLC |
| Other name | <Unavail> |
| Practice address | 2530 1ST AVE N, Escanaba, MI, 49829 |
| Phone | 9067862011 |
| Fax | 9067862816 |
| Enumeration date | 2006-05-12 |
| Last updated in NPPES | 2015-12-14 |
Authorized official
| Name | Russell Steinhorst |
|---|---|
| Title | Svp and Cfo |
| 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 | 5301008360 | MI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4819040 | Other | — | MI MEDICAID DME |
| 4913383 | Other | — | MI MEDICAID DME |
| 2341763 | Medicaid | MI | — |
| 9000B11041 | Other | MI | BLUE CROSS PIN |
| 2341763 | Other | — | NCPDP # |
Copy-ready billing details
Provider: Shopko Stores Operating Co LLC NPI: 1396796892 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2530 1ST AVE N, Escanaba, MI, 49829
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255383584 | Gary Tackman | Individual | Optometrist | Escanaba, MI |
| 1013969336 | Shopko Stores Operating Co. LLC | Organization | Eyewear Supplier | Escanaba, MI |
| 1306004155 | Marquette General Hospital, Inc. | Organization | Family Nurse Practitioner | Escanaba, MI |
| 1477840106 | Kristie Stenlund | Individual | Nurse Practitioner | Escanaba, MI |
Verify this record
Cross-check NPI 1396796892 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
What is a Type 2 NPI?
What type of organization is Shopko Stores Operating Co LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-12-14.