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SHOPKO PHARMACY 099
NPI 1295781656
Pharmacy - Community/Retail Pharmacy in Onalaska, WI

Active since May 26, 2006
9366 STATE ROAD 16, ONALASKA, WI 54650(608) 781-5404(608) 783-4966 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 099 NPPES

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

SHOPKO PHARMACY 099 (NPI 1295781656) is a healthcare organization registered as a community/retail pharmacy in Onalaska, 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

NPI1295781656
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address9366 STATE ROAD 16Onalaska, WI 54650-8526
Mailing Address9366 State Road 16Onalaska, WI 54650-8526 · (608) 781-5404 · Fax (608) 783-4966
Phone(608) 781-5404
Fax(608) 783-4966
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 14, 2008
✔ NPI 1295781656 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 WI · 8606042
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
9366 STATE ROAD 16, Onalaska, WI 54650
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Other Names 1

Doing Business AsShopko Pharmacy 099

Other Identifiers 6

Medicaid195560800MN
Medicare ID-Type Unspecified0154160251
Medicare NSC5695760017
Other5119587Ncpdp
Medicaid967190000MN
Medicaid33163900WI

Other Providers at the Same Location NPPES 4

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

RANDY AMMERMAN
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
STEVEN ALLEN MAYER RPH
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
MR. JEROME PAUL BOORTZ RPH
Pharmacist
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-5404
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
9366 STATE ROAD 16
ONALASKA, WI 54650
La Crosse County (608) 781-2010

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 1295781656. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Shopko Pharmacy 099.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 9366 State Road 16, Onalaska, WI 54650. The listed phone number is (608) 781-5404.

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 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.