SHOPKO PHARMACY 060
NPI 1205880010
Pharmacy - Community/Retail Pharmacy in Albert Lea, MN

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

The NPI number for Shopko Stores Operating Co LLC is 1205880010. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 060.

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

2610 BRIDGE AVE, ALBERT LEA, MN 56007(507) 373-9424(507) 373-0977 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shopko Pharmacy 060 NPPES

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

SHOPKO PHARMACY 060 (NPI 1205880010) is a healthcare organization registered as a community/retail pharmacy in Albert Lea, Minnesota 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

NPI1205880010

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address2610 BRIDGE AVEAlbert Lea, MN 56007-2075

Mailing Address2610 Bridge AveAlbert Lea, MN 56007-2075 · (507) 373-9424 · Fax (507) 373-0977

Phone(507) 373-9424

Fax(507) 373-0977

Organization SubpartNo

Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297

Enumeration DateMay 19, 2006

Last NPPES UpdateJuly 25, 2014

✔ NPI 1205880010 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 MN · 2628079

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

2610 BRIDGE AVE, Albert Lea, MN 56007

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Other Names 1

Doing Business AsShopko Pharmacy 060

Other Identifiers 7

Medicare NSC5695760094

Medicare ID-Type Unspecified0154160153

Medicaid827463000MN

Medicaid0985630IA

Medicaid820058100MN

Other2416786Ncpdp Number

Medicaid0722504IA

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.

DANIEL MAURICE COTTRELL O.D.

Optometrist