SHOPKO PHARMACY 008
NPI 1023063294
Pharmacy - Community/Retail Pharmacy in Rothschild, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1023063294. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Shopko Pharmacy 008.

Q: 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.

Active since May 24, 2006

1105 E GRAND AVE, ROTHSCHILD, WI 54474(715) 359-4251(715) 359-0145 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shopko Pharmacy 008 NPPES

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

SHOPKO PHARMACY 008 (NPI 1023063294) is a healthcare organization registered as a community/retail pharmacy in Rothschild, Wisconsin and active in the NPI registry since May 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1023063294

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1105 E GRAND AVERothschild, WI 54474-1024

Mailing Address1105 E Grand AveRothschild, WI 54474-1024 · (715) 359-4251 · Fax (715) 359-0145

Phone(715) 359-4251

Fax(715) 359-0145

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 24, 2006

Last NPPES UpdateJune 6, 2014

✔ NPI 1023063294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 8634042

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

Also ListedPharmacyTaxonomy 333600000X

1105 E GRAND AVE, Rothschild, WI 54474

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Other Names 1

Doing Business AsShopko Pharmacy 008

Other Identifiers 4

Other5112913Ncpdp Number

Medicare ID-Type Unspecified0154160100

Medicaid33001000WI

Medicare NSC5695760002

Other Providers at the Same Location NPPES 20

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

MS. JENNIFER MARY JOHNSON

Registered Nurse