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SHOPKO PHARMACY 048
NPI 1346291705
Pharmacy - Community/Retail Pharmacy in Norfolk, NE

Active since May 12, 2006
2005 KRENZIEN DR, NORFOLK, NE 68701(402) 379-4380(402) 371-9154 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shopko Pharmacy 048 NPPES

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

SHOPKO PHARMACY 048 (NPI 1346291705) is a healthcare organization registered as a community/retail pharmacy in Norfolk, Nebraska 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

NPI1346291705
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address2005 KRENZIEN DRNorfolk, NE 68701-4601
Mailing Address2005 Krenzien DrNorfolk, NE 68701-4601 · (402) 379-4380 · Fax (402) 371-9154
Phone(402) 379-4380
Fax(402) 371-9154
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 5, 2014
✔ NPI 1346291705 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 NE · 2724
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
2005 KRENZIEN DR, Norfolk, NE 68701
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Other Names 1

Doing Business AsShopko Pharmacy 048

Other Identifiers 5

Medicare NSC5695760060
Medicaid10025414200NE
Medicaid41098505406NE
Other2812192Ncpdp Number
Medicare ID-Type Unspecified0154160183

Other Providers at the Same Location NPPES

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

SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
2005 KRENZIEN DR
NORFOLK, NE 68701
Madison County (402) 379-1434

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 1346291705. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Shopko Pharmacy 048.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 2005 Krenzien Dr, Norfolk, NE 68701. The listed phone number is (402) 379-4380.

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 March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.