SHOPKO PHARMACY 679
NPI 1295788891
Pharmacy - Community/Retail Pharmacy in Toledo, IA

Active since May 18, 2006
1006 S COUNTY RD, TOLEDO, IA 52342(641) 484-8801(641) 484-8701 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 679 NPPES

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

SHOPKO PHARMACY 679 (NPI 1295788891) is a healthcare organization registered as a community/retail pharmacy in Toledo, Iowa 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

NPI1295788891
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1006 S COUNTY RDToledo, IA 52342-1062
Mailing Address1006 S County RdToledo, IA 52342-1062 · (641) 484-8801 · Fax (641) 484-8701
Fax(641) 484-8701
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 25, 2013
NPI 1295788891 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
1006 S COUNTY RD, Toledo, IA 52342

Other Names 1

Doing Business AsShopko Pharmacy 679

Other Identifiers 4

Medicaid0495598IA
Medicaid0299321IA
Medicare NSC5695760268
Other1621704Ncpdp

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.

Pharmacist
1006 S COUNTY RD
TOLEDO, IA 52342
Pharmacy (Community/Retail Pharmacy)
1006 S COUNTY RD
TOLEDO, IA 52342

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 1295788891. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 679.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1006 S County Rd, Toledo, IA 52342. The listed phone number is (641) 484-8801.

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 January 25, 2013. 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.