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SHOPKO PHARMACY 007
NPI 1093761447
Pharmacy - Community/Retail Pharmacy in La Crosse, WI

Active since May 26, 2006
4344 MORMON COULEE RD, LA CROSSE, WI 54601(608) 788-8860(608) 788-5790 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 007 NPPES

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

SHOPKO PHARMACY 007 (NPI 1093761447) is a healthcare organization registered as a community/retail pharmacy in La Crosse, 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

NPI1093761447
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address4344 MORMON COULEE RDLa Crosse, WI 54601-7908
Mailing Address4344 Mormon Coulee RdLa Crosse, WI 54601-7908 · (608) 788-8860 · Fax (608) 788-5790
Phone(608) 788-8860
Fax(608) 788-5790
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 6, 2008
✔ NPI 1093761447 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 WI · 8635042
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
4344 MORMON COULEE RD, La Crosse, WI 54601
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Other Names 1

Doing Business AsShopko Pharmacy 007

Other Identifiers 6

Medicaid33005100WI
Medicaid732060400MN
Medicare ID-Type Unspecified0154160109
Medicaid511663000MN
Other5113270Ncpdp Number
Medicare NSC5695760001

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.

MR. MATTHEW JOHN FERNHOLZ RPH
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 188-8860
MR. MARC CHRISTOPHER ERTZ R.PH.
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8860
RYAN BARFKNECHT
Pharmacist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8860
COLLEEN NICOLE KONKEL O.D.
Optometrist
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8800
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
4344 MORMON COULEE RD
LA CROSSE, WI 54601
La Crosse County (608) 788-8800

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 1093761447. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 007.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 4344 Mormon Coulee Rd, La Crosse, WI 54601. The listed phone number is (608) 788-8860.

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 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.