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SHOPKO PHARMACY 080
NPI 1104872563
Pharmacy - Community/Retail Pharmacy in Madison, WI

Active since May 26, 2006
2201 ZEIER RD, MADISON, WI 53704(608) 246-4233(608) 246-0136 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 080 NPPES

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

SHOPKO PHARMACY 080 (NPI 1104872563) is a healthcare organization registered as a community/retail pharmacy in Madison, 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

NPI1104872563
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2201 ZEIER RDMadison, WI 53704-7415
Mailing Address2201 Zeier RdMadison, WI 53704-7415 · (608) 246-4233 · Fax (608) 246-0136
Phone(608) 246-4233
Fax(608) 246-0136
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 25, 2014
✔ NPI 1104872563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8608042
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
Also ListedPharmacyTaxonomy 333600000X
2201 ZEIER RD, Madison, WI 53704
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Other Names 1

Doing Business AsShopko Pharmacy 080

Other Identifiers 4

Medicaid33155100WI
Medicare ID-Type Unspecified0154160120
Other5118903Ncpdp
Medicare NSC5695760028

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.

HUAN HOANG
Pharmacist
2201 ZEIER RD
MADISON, WI 53704
Dane County (608) 246-4233
DR. BRET A AMMERAAL O.D.
Optometrist
2201 ZEIER RD
MADISON, WI 53704
Dane County (608) 246-2161
MR. LANCE DAVID PAULSON R.PH., M.S
Pharmacist
2201 ZEIER RD
MADISON, WI 53704
Dane County (608) 246-4233
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
2201 ZEIER RD
MADISON, WI 53704
Dane County (608) 246-2161
DR. LEON GRIFFIN JR. O.D.
Optometrist
2201 ZEIER RD
MADISON, WI 53704
Dane County (608) 246-2161

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 1104872563. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 080.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2201 Zeier Rd, Madison, WI 53704. The listed phone number is (608) 246-4233.

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 25, 2014. 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.