SHOPKO PHARMACY 032
NPI 1235185687
Pharmacy - Community/Retail Pharmacy in Monona, WI

Active since May 26, 2006
2101 W BROADWAY, MONONA, WI 53713(608) 222-2066(608) 222-0578 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 032 NPPES

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

SHOPKO PHARMACY 032 (NPI 1235185687) is a healthcare organization registered as a community/retail pharmacy in Monona, Wisconsin 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

NPI1235185687
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2101 W BROADWAYMonona, WI 53713-1638
Mailing Address2101 W BroadwayMonona, WI 53713-1638 · (608) 222-2066 · Fax (608) 222-0578
Fax(608) 222-0578
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateJune 11, 2014
NPI 1235185687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in WI · 8593042
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
Also ListedPharmacyTaxonomy 333600000X
2101 W BROADWAY, Monona, WI 53713

Other Names 1

Doing Business AsShopko Pharmacy 032

Other Identifiers 4

Medicaid33029700WI
Medicare NSC5695760066
Medicare ID-Type Unspecified0154160169
Other5115755Ncpdp Number

Other Providers at the Same Location NPPES 6

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

Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Pharmacist
2101 W BROADWAY
MONONA, WI 53713
Eyewear Supplier
2101 W BROADWAY
MONONA, WI 53713
Optometrist
2101 W BROADWAY
MONONA, WI 53713
Optometrist
2101 W BROADWAY
MONONA, WI 53713

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 1235185687. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 032.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2101 W Broadway, Monona, WI 53713. The listed phone number is (608) 222-2066.

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 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.