SHOPKO PHARMACY 692
NPI 1154374940
Pharmacy - Community/Retail Pharmacy in Superior, NE

Q: What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1154374940. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 692.

Q: 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.

Active since May 19, 2006

1150 E 3RD ST, SUPERIOR, NE 68978(402) 879-4811(402) 879-4812 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shopko Pharmacy 692 NPPES

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

SHOPKO PHARMACY 692 (NPI 1154374940) is a healthcare organization registered as a community/retail pharmacy in Superior, Nebraska 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

NPI1154374940

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1150 E 3RD STSuperior, NE 68978-2026

Mailing AddressPo Box 6Superior, NE 68978-0006 · (402) 879-4811 · Fax (402) 879-4812

Phone(402) 879-4811

Fax(402) 879-4812

Organization SubpartNo

Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297

Enumeration DateMay 19, 2006

Last NPPES UpdateFebruary 12, 2013

✔ NPI 1154374940 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

1150 E 3RD ST, Superior, NE 68978

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Other Names 1

Doing Business AsShopko Pharmacy 692

Other Identifiers 8

Medicaid200389320EKS

Medicare PIN099877

Medicaid100459130AKS

Medicaid200389320FKS

Medicaid10024985900NE

Other2816570Ncpdp

Medicare NSC5694490023

Medicaid10025416000NE

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 1154374940. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 692.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1150 E 3rd St, Superior, NE 68978. The listed phone number is (402) 879-4811.

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 February 12, 2013. 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.