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SHOPKO PHARMACY 044
NPI 1053362400
Pharmacy - Community/Retail Pharmacy in Omaha, NE

Active since May 12, 2006
3020 S 84TH ST, OMAHA, NE 68124(402) 391-6299(402) 391-3335 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 044 NPPES

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

SHOPKO PHARMACY 044 (NPI 1053362400) is a healthcare organization registered as a community/retail pharmacy in Omaha, Nebraska 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

NPI1053362400
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address3020 S 84TH STOmaha, NE 68124-3215
Mailing Address3020 S 84th StOmaha, NE 68124-3215 · (402) 391-6299 · Fax (402) 391-3335
Phone(402) 391-6299
Fax(402) 391-3335
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1053362400 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 NE · 2678
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
3020 S 84TH ST, Omaha, NE 68124
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Other Names 1

Doing Business AsShopko Pharmacy 044

Other Identifiers 7

Medicaid41098505405NE
Other2812205Ncpdp Number
Medicare NSC5695760087
Medicaid0573824IA
Medicare ID-Type Unspecified0154160225
Medicaid0721902IA
Medicaid10025413800NE

Other Providers at the Same Location NPPES

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

DR. GREGORY P GERDES OD
Optometrist
3020 S 84TH ST
OMAHA, NE 68124
Douglas County (402) 391-1143

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 1053362400. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Pharmacy 044.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 3020 S 84th St, Omaha, NE 68124. The listed phone number is (402) 391-6299.

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 27, 2013. 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.