SHOPKO PHARMACY 066
NPI 1003855057
Pharmacy - Community/Retail Pharmacy in Spokane, WA

Active since June 05, 2006
9520 N NEWPORT HWY, SPOKANE, WA 99218(509) 466-7414(509) 466-0546 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 066 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOPKO PHARMACY 066 (NPI 1003855057) is a healthcare organization registered as a community/retail pharmacy in Spokane, Washington and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1003855057
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address9520 N NEWPORT HWYSpokane, WA 99218-1219
Mailing Address9520 N Newport HwySpokane, WA 99218-1219 · (509) 466-7414 · Fax (509) 466-0546
Fax(509) 466-0546
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 28, 2015
NPI 1003855057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WA · CF00058644
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X
9520 N NEWPORT HWY, Spokane, WA 99218

Other Names 1

Doing Business AsShopko Pharmacy 066

Other Identifiers 6

Other4918275Ncpdp Number
Medicare NSC5695760076
Medicaid0006004071WA
Other0215797Wa Labor & Industry
Medicare ID-Type Unspecified1111590021
Other0013174Wa Labor & Industry

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Optometrist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Pharmacist
9520 N NEWPORT HWY
SPOKANE, WA 99218
Eyewear Supplier
9520 N NEWPORT HWY
SPOKANE, WA 99218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1003855057. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Shopko Pharmacy 066.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 9520 N Newport Hwy, Spokane, WA 99218. The listed phone number is (509) 466-7414.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on August 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.