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SHOPKO PHARMACY 055
NPI 1033165485
Pharmacy - Community/Retail Pharmacy in Stevens Point, WI

Active since May 26, 2006
1200 MAIN ST, STEVENS POINT, WI 54481(715) 344-1230(715) 344-1798 Get Directions Write a Review

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

About Shopko Pharmacy 055 NPPES

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

SHOPKO PHARMACY 055 (NPI 1033165485) is a healthcare organization registered as a community/retail pharmacy in Stevens Point, 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

NPI1033165485
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1200 MAIN STStevens Point, WI 54481-2863
Mailing Address1200 Main StStevens Point, WI 54481-2863 · (715) 344-1230 · Fax (715) 344-1798
Phone(715) 344-1230
Fax(715) 344-1798
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1033165485 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 · 8616042
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
1200 MAIN ST, Stevens Point, WI 54481
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Other Names 1

Doing Business AsShopko Pharmacy 055

Other Identifiers 4

Other5117406Ncpdp Number
Medicare ID-Type Unspecified0154160136
Medicare NSC5695760059
Medicaid33053700WI

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.

LUCAS KRALL PHARM.D.
Pharmacist
1200 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 344-1230
THOMAS JOHN JIRSCHELE RPH
Pharmacist
1200 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 344-1230
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1200 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 344-5355
COURTNEY SCHILL PHARMD
Pharmacist
1200 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 344-1230
MRS. LAURA JANE FOCHS
Pharmacist
1200 MAIN ST
STEVENS POINT, WI 54481
Portage County (715) 344-1230

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 1033165485. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 055.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1200 Main St, Stevens Point, WI 54481. The listed phone number is (715) 344-1230.

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 June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.