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SHOPKO RXCARE
NPI 1053621243
Pharmacy - Long Term Care Pharmacy in Appleton, WI

Active since October 21, 2010
3701 E EVERGREEN DR, STE 1000, APPLETON, WI 54913(920) 739-7855(920) 739-3922 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Rxcare NPPES

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

SHOPKO RXCARE (NPI 1053621243) is a healthcare organization registered as a long term care pharmacy in Appleton, Wisconsin and active in the NPI registry since October 2010. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1053621243
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameSHOPKO INSTITUTIONAL CARE SERVICES CO LLC
Location Address3701 E EVERGREEN DR, STE 1000Appleton, WI 54913-7402
Mailing Address3701 E Evergreen Dr, Ste 1000Appleton, WI 54913-7402 · (920) 739-7855 · Fax (920) 739-3922
Phone(920) 739-7855
Fax(920) 739-3922
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateOctober 21, 2010
Last NPPES UpdateNovember 1, 2011
✔ NPI 1053621243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WI · 9041042
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3701 E EVERGREEN DR, Appleton, WI 54913
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Other Names 1

Doing Business AsShopko Rxcare

Other Identifiers 3

Medicaid1053621243WI
Medicaid1053621243MI
Medicare NSC6497850001

Other Providers at the Same Location NPPES 6

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

HEALTHDIRECT INSTITUTIONAL PHARMACY SERVICES, INC.
Pharmacy (Long Term Care Pharmacy)
3701 E EVERGREEN DR, SUITE 1000
APPLETON, WI 54913
Outagamie County (920) 739-5900
MR. STEVEN J MARCUS RPH
Pharmacist
3701 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 739-7855
MS. BRENDA KOVACH R.PH.
Pharmacist
3701 E EVERGREEN DR, SUITE 1000
APPLETON, WI 54913
Outagamie County (920) 739-5900
MRS. GINGER LYNN MORRISON RPH
Pharmacist (Geriatric)
3701 E EVERGREEN DR, SUITE 1000
APPLETON, WI 54913
Outagamie County (920) 739-5900
NELSON MILBACH
Pharmacist
3701 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 739-5900
MRS. RACHAEL AVERILL PHARMD.
Pharmacist
3701 E EVERGREEN DR, SUITE 1000
APPLETON, WI 54913
Outagamie County (920) 739-5900

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 Institutional Care Services Co LLC's NPI number?

The NPI number for Shopko Institutional Care Services Co LLC is 1053621243. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Shopko Rxcare.

Where is Shopko Institutional Care Services Co LLC located?

Shopko Institutional Care Services Co LLC is located at 3701 E Evergreen Dr Ste 1000, Appleton, WI 54913. The listed phone number is (920) 739-7855.

What is Shopko Institutional Care Services Co LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Shopko Institutional Care Services Co LLC was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.