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SHOPKO PHARMACY 667
NPI 1194778688
Pharmacy - Community/Retail Pharmacy in Sheldon, IA

Active since May 18, 2006
1501 PARK ST, SHELDON, IA 51201(712) 324-3552(712) 324-2634 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 667 NPPES

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

SHOPKO PHARMACY 667 (NPI 1194778688) is a healthcare organization registered as a community/retail pharmacy in Sheldon, Iowa 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

NPI1194778688
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1501 PARK STSheldon, IA 51201-1304
Mailing Address1501 Park StSheldon, IA 51201-1304 · (712) 324-3552 · Fax (712) 324-2634
Phone(712) 324-3552
Fax(712) 324-2634
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 19, 2012
✔ NPI 1194778688 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
1501 PARK ST, Sheldon, IA 51201
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Other Names 1

Doing Business AsShopko Pharmacy 667

Other Identifiers 5

Medicaid0102632IA
Medicare NSC5695760227
Other1617440Ncpdp
Medicare PINI19038
Medicaid0495648IA

Other Providers at the Same Location NPPES

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

MR. DONALD WAYNE DEBOER RPH
Pharmacist
1501 PARK ST
SHELDON, IA 51201
O'Brien County (712) 324-3552

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 1194778688. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 667.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1501 Park St, Sheldon, IA 51201. The listed phone number is (712) 324-3552.

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 October 19, 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.