SHOPKO PHARMACY 640
NPI 1316976558
Pharmacy - Community/Retail Pharmacy in Tuscola, IL

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

The NPI number for Shopko Stores Operating Co LLC is 1316976558. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Shopko Pharmacy 640.

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 July 01, 2006

700 PROGRESS BLVD, TUSCOLA, IL 61953(217) 253-5123(217) 253-5124 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shopko Pharmacy 640 NPPES

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

SHOPKO PHARMACY 640 (NPI 1316976558) is a healthcare organization registered as a community/retail pharmacy in Tuscola, Illinois and active in the NPI registry since July 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1316976558

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address700 PROGRESS BLVDTuscola, IL 61953-2070

Mailing Address700 Progress BlvdTuscola, IL 61953-2070 · (217) 253-5123 · Fax (217) 253-5124

Phone(217) 253-5123

Fax(217) 253-5124

Organization SubpartNo

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

Enumeration DateJuly 1, 2006

Last NPPES UpdateSeptember 7, 2012

✔ NPI 1316976558 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

700 PROGRESS BLVD, Tuscola, IL 61953

Open in Google Maps ↗

Other Names 1

Doing Business AsShopko Pharmacy 640

Other Identifiers 2

Medicare NSC5695760191

Other0459230088Medicare Id - Type Unspecified

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 1316976558. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Shopko Pharmacy 640.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 700 Progress Blvd, Tuscola, IL 61953. The listed phone number is (217) 253-5123.

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 September 7, 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.