1. Home
  2. Directory
  3. Nebraska
  4. Alliance
  5. Pharmacy
  6. NPI Profile

SHOPKO PHARMACY 694
NPI 1255384863
Pharmacy - Community/Retail Pharmacy in Alliance, NE

Active since May 18, 2006
312 FLACK AVE, ALLIANCE, NE 69301(308) 762-4451(308) 762-4426 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 694 NPPES

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

SHOPKO PHARMACY 694 (NPI 1255384863) is a healthcare organization registered as a community/retail pharmacy in Alliance, Nebraska and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1255384863
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address312 FLACK AVEAlliance, NE 69301-3542
Mailing Address312 Flack AveAlliance, NE 69301-3542 · (308) 762-4451 · Fax (308) 762-4426
Phone(308) 762-4451
Fax(308) 762-4426
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 31, 2012
✔ NPI 1255384863 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
312 FLACK AVE, Alliance, NE 69301
Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 694

Other Identifiers 4

Medicare NSC5695760258
Medicaid10025417500NE
Other2815275Ncpdp
Medicaid47062642607NE

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 1255384863. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 694.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 312 Flack Ave, Alliance, NE 69301. The listed phone number is (308) 762-4451.

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 31, 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.