SHOPKO PHARMACY 730
NPI 1114979531
Pharmacy - Community/Retail Pharmacy in Hodgenville, KY

Active since May 16, 2006
657 W MAIN ST, HODGENVILLE, KY 42748(270) 358-4391(270) 358-4682 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shopko Pharmacy 730 NPPES

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

SHOPKO PHARMACY 730 (NPI 1114979531) is a healthcare organization registered as a community/retail pharmacy in Hodgenville, Kentucky 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

NPI1114979531
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address657 W MAIN STHodgenville, KY 42748-1569
Mailing Address657 W Main StHodgenville, KY 42748-1569 · (270) 358-4391 · Fax (270) 358-4682
Fax(270) 358-4682
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateFebruary 8, 2013
NPI 1114979531 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
657 W MAIN ST, Hodgenville, KY 42748

Other Names 1

Doing Business AsShopko Pharmacy 730

Other Identifiers 4

Other1825706Ncpdp Number
Medicaid5401320600KY
Medicaid5403488900KY
Medicare NSC5695760278

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114979531, enumerated as an "organization" on May 16, 2006.

The provider is located at 657 W MAIN ST HODGENVILLE, KY 42748 and the phone number is (270) 358-4391.

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.