1. Home
  2. Directory
  3. Iowa
  4. Burlington
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 141
NPI 1215988183
Pharmacy - Community/Retail Pharmacy in Burlington, IA

Active since May 15, 2006
313 N ROOSEVELT AVE, BURLINGTON, IA 52601(319) 758-9526(319) 753-2349 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 141 NPPES

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

SHOPKO PHARMACY 141 (NPI 1215988183) is a healthcare organization registered as a community/retail pharmacy in Burlington, Iowa 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

NPI1215988183
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address313 N ROOSEVELT AVEBurlington, IA 52601-1757
Mailing Address313 N Roosevelt AveBurlington, IA 52601-1757 · (319) 758-9526 · Fax (319) 753-2349
Phone(319) 758-9526
Fax(319) 753-2349
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 6, 2014
✔ NPI 1215988183 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 IA · 1039
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
313 N ROOSEVELT AVE, Burlington, IA 52601
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 141

Other Identifiers 7

Medicaid0495143IA
Medicare ID-Type Unspecified1249550006
Other1619228Ncpdp Number
Medicaid=========001IL
Medicaid371110040141IL
Medicaid0438150IA
Medicare NSC5695760073

Other Providers at the Same Location NPPES 2

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

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
313 N ROOSEVELT AVE
BURLINGTON, IA 52601
Des Moines County (319) 758-9145
DR. BENJAMIN TATSUNORI IWAI O.D.
Optometrist
313 N ROOSEVELT AVE
BURLINGTON, IA 52601
Des Moines County (319) 758-9145

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 1215988183. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Shopko Pharmacy 141.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 313 N Roosevelt Ave, Burlington, IA 52601. The listed phone number is (319) 758-9526.

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 June 6, 2014. 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.