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SHOPKO PHARMACY 705
NPI 1124065461
Pharmacy - Community/Retail Pharmacy in Trenton, MO

Active since June 02, 2006
2001 E 9TH ST, TRENTON, MO 64683(660) 359-2970(660) 359-2979 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 705 NPPES

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

SHOPKO PHARMACY 705 (NPI 1124065461) is a healthcare organization registered as a community/retail pharmacy in Trenton, Missouri and active in the NPI registry since June 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1124065461
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2001 E 9TH STTrenton, MO 64683-2599
Mailing Address2001 E 9th StTrenton, MO 64683-2599 · (660) 359-2970 · Fax (660) 359-2979
Phone(660) 359-2970
Fax(660) 359-2979
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 23, 2012
✔ NPI 1124065461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed · 2006008229
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
2001 E 9TH ST, Trenton, MO 64683
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Other Names 1

Doing Business AsShopko Pharmacy 705

Other Identifiers 3

Other2630918Ncpdp
Other5694490041MO · Dme Supplier
Medicare NSC5695760178

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO LLC
Durable Medical Equipment & Medical Supplies
2001 E 9TH ST
TRENTON, MO 64683
Grundy County (660) 359-2970

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 1124065461. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Shopko Pharmacy 705.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2001 E 9th St, Trenton, MO 64683. The listed phone number is (660) 359-2970.

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 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.