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SHOPKO PHARMACY 035
NPI 1336192194
Pharmacy - Community/Retail Pharmacy in Rochester, MN

Active since May 19, 2006
2820 HIGHWAY 63 S, ROCHESTER, MN 55904(507) 281-0688(507) 281-4612 Get Directions Write a Review

NPPES record last updated: April 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 035 NPPES

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

SHOPKO PHARMACY 035 (NPI 1336192194) is a healthcare organization registered as a community/retail pharmacy in Rochester, Minnesota 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

NPI1336192194
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2820 HIGHWAY 63 SRochester, MN 55904-5571
Mailing Address2820 Highway 63 SRochester, MN 55904-5571 · (507) 281-0688 · Fax (507) 281-4612
Phone(507) 281-0688
Fax(507) 281-4612
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 23, 2013
✔ NPI 1336192194 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 MN · 2628008
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 ListedEyewear SupplierTaxonomy 332H00000X
2820 HIGHWAY 63 S, Rochester, MN 55904
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Other Names 1

Doing Business AsShopko Pharmacy 035

Other Identifiers 6

Other2415429Ncpdp Number
Medicare ID-Type Unspecified1111590006
Medicaid798663000MN
Medicaid347223000MN
Medicare NSC5695760051
Medicaid176257500MN

Other Providers at the Same Location NPPES 3

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

MARIE-ELISABETH PAULIK
Pharmacist
2820 HIGHWAY 63 S
ROCHESTER, MN 55904
Olmsted County (507) 281-0688
RICHARD CLARK RPH
Pharmacist
2820 HIGHWAY 63 S
ROCHESTER, MN 55904
Olmsted County (507) 281-0688
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
2820 HIGHWAY 63 S
ROCHESTER, MN 55904
Olmsted County (507) 281-0687

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 1336192194. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Shopko Pharmacy 035.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2820 Highway 63 S, Rochester, MN 55904. The listed phone number is (507) 281-0688.

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 April 23, 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.