SHOPKO PHARMACY 744
NPI 1063466548
Pharmacy - Community/Retail Pharmacy in Roseau, MN

Active since May 20, 2006
1087 3RD ST NW, ROSEAU, MN 56751(218) 463-2420(218) 463-2421 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 744 NPPES

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

SHOPKO PHARMACY 744 (NPI 1063466548) is a healthcare organization registered as a community/retail pharmacy in Roseau, Minnesota and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1063466548
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1087 3RD ST NWRoseau, MN 56751-1902
Mailing Address1087 3rd St NwRoseau, MN 56751-1902 · (218) 463-2420 · Fax (218) 463-2421
Fax(218) 463-2421
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 20, 2006
Last NPPES UpdateOctober 9, 2012
NPI 1063466548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacyTaxonomy 333600000X
1087 3RD ST NW, Roseau, MN 56751

Other Names 1

Doing Business AsShopko Pharmacy 744

Other Identifiers 5

Medicare NSC5695760211
Medicaid606173000MN
Other2424961Ncpdp
Medicare ID-Type Unspecified0459230095
Medicaid219311600MN

Other Providers at the Same Location NPPES 2

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

Pharmacist
1087 3RD ST NW
ROSEAU, MN 56751
Pharmacist
1087 3RD ST NW
ROSEAU, MN 56751

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063466548, enumerated as an "organization" on May 20, 2006.

The provider is located at 1087 3RD ST NW ROSEAU, MN 56751 and the phone number is (218) 463-2420.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.