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SHOPKO PHARMACY 698
NPI 1215108758
Pharmacy - Community/Retail Pharmacy in Gothenburg, NE

Active since March 12, 2008
718 4TH STREET, GOTHENBURG, NE 69138(308) 537-8780(308) 537-4309 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 698 NPPES

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

SHOPKO PHARMACY 698 (NPI 1215108758) is a healthcare organization registered as a community/retail pharmacy in Gothenburg, Nebraska and active in the NPI registry since March 2008. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1215108758
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address718 4TH STREETGothenburg, NE 69138
Mailing Address718 4th Street, Po Box 254Gothenburg, NE 69138 · (308) 537-8780 · Fax (308) 537-4309
Phone(308) 537-8780
Fax(308) 537-4309
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMarch 12, 2008
Last NPPES UpdateDecember 27, 2012
✔ NPI 1215108758 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
718 4TH STREET, Gothenburg, NE 69138
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Other Names 1

Doing Business AsShopko Pharmacy 698

Other Identifiers 2

Medicaid10025618100NE
Medicare NSC5695760254

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 1215108758. It was assigned to this organization in the NPPES registry on March 12, 2008. The provider is doing business as Shopko Pharmacy 698.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 718 4th Street, Gothenburg, NE 69138. The listed phone number is (308) 537-8780.

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 December 27, 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.