SHOPKO PHARMACY 673
NPI 1295921435
Pharmacy - Community/Retail Pharmacy in Ainsworth, NE

Q: What is Shopko Stores Operating Co LLC's NPI number?

The NPI number for Shopko Stores Operating Co LLC is 1295921435. It was assigned to this organization in the NPPES registry on September 21, 2007. The provider is doing business as Shopko Pharmacy 673.

Q: 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.

Active since September 21, 2007

1511 EAST 4TH, AINSWORTH, NE 69210(402) 387-1533(402) 387-1749 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shopko Pharmacy 673 NPPES

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

SHOPKO PHARMACY 673 (NPI 1295921435) is a healthcare organization registered as a community/retail pharmacy in Ainsworth, Nebraska and active in the NPI registry since September 2007. The organization lists Michael Bettiga, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1295921435

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address1511 EAST 4THAinsworth, NE 69210

Mailing Address1511 East 4thAinsworth, NE 69210 · (402) 387-1533 · Fax (402) 387-1749

Phone(402) 387-1533

Fax(402) 387-1749

Organization SubpartNo

Authorized OfficialMichael BettigaExecutive Vice President And Coo · (920) 429-4297

Enumeration DateSeptember 21, 2007

Last NPPES UpdateDecember 31, 2012

✔ NPI 1295921435 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

1511 EAST 4TH, Ainsworth, NE 69210

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Other Names 1

Doing Business AsShopko Pharmacy 673

Other Identifiers 3

Medicaid10025566200NE

Medicaid8535370SD

Medicare NSC5695760257

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 1295921435. It was assigned to this organization in the NPPES registry on September 21, 2007. The provider is doing business as Shopko Pharmacy 673.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1511 East 4th, Ainsworth, NE 69210. The listed phone number is (402) 387-1533.

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.