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Shopko Stores Operating Co LLC

Community/Retail Pharmacy in Salem, OR · enumerated 2006 · authorized official Russell Steinhorst, Svp Chief Financial Officer.

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

National Provider Identifier

1639121155

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Registry record

Entity type Organization (Type 2)
Legal business name Shopko Stores Operating Co LLC
Other name <Unavail>
Practice address 1230 Lancaster Dr Se, Salem, OR, 97317
Phone (503) 371-6830
Fax (503) 371-8159
Enumeration date May 16, 2006
Last updated in NPPES Apr 6, 2016

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332H00000X Eyewear Supplier Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 1193 (OR) Primary

Authorized official

Name Russell Steinhorst
Title Svp Chief Financial Officer
Phone (920) 429-7489

Other identifiers

Identifier Type State Issuer
3810721 Other - NCPDP NUMBER
278347 Medicaid OR -
038658 Medicaid OR -
278380 Medicaid OR -

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 2016-04-06. Verify at npiregistry.cms.hhs.gov.
Where is Shopko Stores Operating Co LLC located?
The practice location on file with NPPES is in Salem, OR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-06.