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SHOPKO PHARMACY 705
NPI 1184819765
Durable Medical Equipment & Medical Supplies in Trenton, MO

Active since September 07, 2007
2001 E 9TH ST, TRENTON, MO 64683(660) 359-2970(660) 359-2979 Get Directions Write a Review

NPPES record last updated: May 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 1184819765) is a healthcare organization registered as a durable medical equipment & medical supplies in Trenton, Missouri and active in the NPI registry since September 2007. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1184819765
Entity TypeOrganization
Primary Taxonomy332B00000X
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 DateSeptember 7, 2007
Last NPPES UpdateMay 23, 2012
✔ NPI 1184819765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
2001 E 9TH ST, Trenton, MO 64683
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Other Names 1

Doing Business AsShopko Pharmacy 705

Other Identifiers 3

Medicare PIN5694490041
Other2630918Ncpdp
Medicare PIN0459230055

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
Pharmacy (Community/Retail Pharmacy)
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 1184819765. It was assigned to this organization in the NPPES registry on September 7, 2007. 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 Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.