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SHOPKO PHARMACY 671
NPI 1316990716
Pharmacy - Community/Retail Pharmacy in Waukon, IA

Active since May 18, 2006
819 11TH AVE SW, WAUKON, IA 52172(563) 568-3668(563) 568-3693 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 671 NPPES

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

SHOPKO PHARMACY 671 (NPI 1316990716) is a healthcare organization registered as a community/retail pharmacy in Waukon, Iowa and active in the NPI registry since May 2006. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1316990716
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address819 11TH AVE SWWaukon, IA 52172-7593
Mailing Address819 11th Ave SwWaukon, IA 52172-7593 · (563) 568-3668 · Fax (563) 568-3693
Phone(563) 568-3668
Fax(563) 568-3693
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1316990716 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
819 11TH AVE SW, Waukon, IA 52172
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Other Names 1

Doing Business AsShopko Pharmacy 671

Other Identifiers 4

Medicaid0174805IA
Other1619343Ncpdp
Medicaid0495804IA
Medicare NSC5695760235

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 1316990716. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Shopko Pharmacy 671.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 819 11th Ave SW, Waukon, IA 52172. The listed phone number is (563) 568-3668.

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 October 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.