Shopko Pharmacy 047

Durable Medical Equipment & Medical Supplies


  
100 S 66th St, Lincoln
Nebraska, 68510-2301

 402-489-7148     402-489-6240Maps & Directions
Shopko Pharmacy 047 is a Durable Medical Equipment & Medical Supplies Store in Lincoln, Nebraska. It is situated at 100 S 66th St, Lincoln and its contact number is 402-489-7148. The authorized person of Shopko Pharmacy 047 is Mr. Michael J Bettiga who is Sr. Vice President Health Services of the store and their contact number is 920-429-4297. Other organizations associated with this store are Shopko Stores Operating Co. Llc, Shopko Stores Operating Co Llc, Primary license number for Shopko Pharmacy 047 is 2681 (Community/Retail Pharmacy) in Nebraska.
Shopko Pharmacy 047 is 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.


Complete Center Profile:
Shopko Pharmacy 047 Center speciality, address, contact phone number and fax are as below. Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
Specialization: Durable Medical Equipment & Medical Supplies
Address:100 S 66th St, Lincoln,
Nebraska, 68510-2301
Phone:402-489-7148
Fax:402-489-6240
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name: Mr. Michael J Bettiga
Position: Sr. Vice President Health Services
Contact Number: 920-429-4297
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Shopko Pharmacy 047 center are as mentioned below.
NPI Number: 1679524037
NPI Enumeration Date: 12 May, 2006
NPI Last Update On: 05 Mar, 2014

Other Associated Organizations:
Other organizations which are associated with this store are as mentioned below. These organization share the same address but have similar or different specialization. Speciality of these organizations are also mentioned below.
NameSpecializationNPI Number
Shopko Stores Operating Co. LlcEyewear Supplier (equipment, Not The Service) 1467404699
Shopko Stores Operating Co LlcDurable Medical Equipment & Medical Supplies 1679524037
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shopko Pharmacy 047 are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2681NebraskaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Eyewear Supplier (equipment, Not The Service) Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
10025070800MedicaidNebraska
10025414100MedicaidNebraska
2812382OtherNcpdp Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Shopko Pharmacy 047
100 S 66th St,
Lincoln, Nebraska
Zip: 68510-2301
Phone Number: 402-489-7148
Fax Number: 402-489-6240
Patients can reach Shopko Pharmacy 047 at 100 S 66th St, Lincoln, Nebraska or can call to book an appointment on 402-489-7148. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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