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SHOPKO PHARMACY 089
NPI 1144260571
Pharmacy - Community/Retail Pharmacy in Walla Walla, WA

Active since June 07, 2006
1651 W ROSE ST, WALLA WALLA, WA 99362(509) 525-9207(509) 529-7061 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 089 NPPES

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

SHOPKO PHARMACY 089 (NPI 1144260571) is a healthcare organization registered as a community/retail pharmacy in Walla Walla, Washington and active in the NPI registry since June 2006. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1144260571
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1651 W ROSE STWalla Walla, WA 99362-1771
Mailing Address1651 W Rose StWalla Walla, WA 99362-1771 · (509) 525-9207 · Fax (509) 529-7061
Phone(509) 525-9207
Fax(509) 529-7061
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJune 7, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1144260571 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 WA · CF00058648
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
1651 W ROSE ST, Walla Walla, WA 99362
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Other Names 1

Doing Business AsShopko Pharmacy 089

Other Identifiers 10

Medicaid278351OR
Medicare NSC5695760116
Medicare ID-Type Unspecified1111590047
Medicaid0006130033WA
Medicaid278381OR
Other0050989Wa Labor & Industry
Other0215798Wa Labor & Industry
Medicaid029348OR
Medicare PING8874583WA
Other4919695Ncpdp Number

Other Providers at the Same Location NPPES 2

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

DR. MEGHAN IRONS PHARMD
Pharmacist
1651 W ROSE ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-9207
GARY JAMES LEE R.PH.
Pharmacist
1651 W ROSE ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-9207

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 1144260571. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Shopko Pharmacy 089.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1651 W Rose St, Walla Walla, WA 99362. The listed phone number is (509) 525-9207.

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 June 6, 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.