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SHOPKO PHARMACY 777
NPI 1083896716
Pharmacy - Community/Retail Pharmacy in Jackson, MN

Active since December 05, 2007
506 2ND ST, JACKSON, MN 56143(507) 847-2480(507) 847-2480 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 777 NPPES

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

SHOPKO PHARMACY 777 (NPI 1083896716) is a healthcare organization registered as a community/retail pharmacy in Jackson, Minnesota and active in the NPI registry since December 2007. The organization lists Michael Bettiga, Excutive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1083896716
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address506 2ND STJackson, MN 56143
Mailing Address506 2nd StJackson, MN 56143 · (507) 847-2480 · Fax (507) 847-2480
Phone(507) 847-2480
Fax(507) 847-2480
Organization SubpartNo
Authorized OfficialMichael BettigaExcutive Vice President & Coo · (920) 429-4297
Enumeration DateDecember 5, 2007
Last NPPES UpdateJuly 31, 2012
✔ NPI 1083896716 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
506 2ND ST, Jackson, MN 56143
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Other Names 1

Doing Business AsShopko Pharmacy 777

Other Identifiers 1

Medicare NSC5695760164

Other Providers at the Same Location NPPES

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

JACKSON DRUG CO
Pharmacy (Community/Retail Pharmacy)
506 2ND ST
JACKSON, MN 56143
Jackson County (507) 847-3161

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 1083896716. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Shopko Pharmacy 777.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 506 2nd St, Jackson, MN 56143. The listed phone number is (507) 847-2480.

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 July 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.