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SHOPKO PHARMACY 041
NPI 1265486039
Pharmacy - Community/Retail Pharmacy in Austin, MN

Active since May 19, 2006
1209 18TH AVE NW, AUSTIN, MN 55912(507) 437-7616(507) 437-8565 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 041 NPPES

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

SHOPKO PHARMACY 041 (NPI 1265486039) is a healthcare organization registered as a community/retail pharmacy in Austin, 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

NPI1265486039
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1209 18TH AVE NWAustin, MN 55912-1881
Mailing Address1209 18th Ave NwAustin, MN 55912-1881 · (507) 437-7616 · Fax (507) 437-8565
Phone(507) 437-7616
Fax(507) 437-8565
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateAugust 27, 2013
✔ NPI 1265486039 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 · 2628024
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
1209 18TH AVE NW, Austin, MN 55912
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Other Names 1

Doing Business AsShopko Pharmacy 041

Other Identifiers 8

Medicare ID-Type Unspecified1111590005
Medicare ID-Type Unspecified0722652IA
Medicaid608057000MN
Medicaid840020000MN
Other2416116Ncpdp Number
Medicaid126023500MN
Medicaid0578674IA
Medicare NSC5695760050

Other Providers at the Same Location NPPES 3

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

DOREEN ANN REED RPH.
Pharmacist
1209 18TH AVE NW
AUSTIN, MN 55912
Mower County (507) 437-7616
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1209 18TH AVE NW
AUSTIN, MN 55912
Mower County (507) 437-8228
MR. RODNEY L. MIDDLEBROOK O.D.
Optometrist
1209 18TH AVE NW
AUSTIN, MN 55912
Mower County (507) 437-8228

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 1265486039. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 041.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1209 18th Ave NW, Austin, MN 55912. The listed phone number is (507) 437-7616.

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 August 27, 2013. 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.