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SHOPKO PHARMACY 027
NPI 1174579528
Pharmacy - Community/Retail Pharmacy in Racine, WI

Active since May 26, 2006
4801 WASHINGTON AVE, RACINE, WI 53406(262) 637-8444(262) 637-0752 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 027 NPPES

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

SHOPKO PHARMACY 027 (NPI 1174579528) is a healthcare organization registered as a community/retail pharmacy in Racine, 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

NPI1174579528
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address4801 WASHINGTON AVERacine, WI 53406-4219
Mailing Address4801 Washington AveRacine, WI 53406-4219 · (262) 637-8444 · Fax (262) 637-0752
Phone(262) 637-8444
Fax(262) 637-0752
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1174579528 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 · 8623042
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
4801 WASHINGTON AVE, Racine, WI 53406
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Other Names 1

Doing Business AsShopko Pharmacy 027

Other Identifiers 4

Other5114563Ncpdp Number
Medicare NSC5695760090
Medicaid33017300WI
Medicare ID-Type Unspecified0154160035

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.

MR. JEREMY P LAFFIN RPH
Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406
Racine County (262) 637-8444
MS. HEATHER J ASHMUS PHARMD
Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406
Racine County (262) 637-8444
DR. HEIDI ANNE SHUFELT OD
Optometrist
4801 WASHINGTON AVE
RACINE, WI 53406
Racine County (262) 637-3733
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
4801 WASHINGTON AVE
RACINE, WI 53406
Racine County (262) 637-3733
MS. LAURIE A FERAN-HALVERSON RPH
Pharmacist
4801 WASHINGTON AVE
RACINE, WI 53406
Racine County (262) 637-8444

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 1174579528. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 027.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 4801 Washington Ave, Racine, WI 53406. The listed phone number is (262) 637-8444.

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 27, 2013. 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.