SHOPKO PHARMACY 613
NPI 1376817163
Pharmacy - Community/Retail Pharmacy in Winneconne, WI

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

The NPI number for Shopko Stores Operating Co LLC is 1376817163. It was assigned to this organization in the NPPES registry on February 27, 2012. The provider is doing business as Shopko Pharmacy 613.

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 February 27, 2012

946 E MAIN ST., WINNECONNE, WI 54986(920) 582-4414 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shopko Pharmacy 613 NPPES

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

SHOPKO PHARMACY 613 (NPI 1376817163) is a healthcare organization registered as a community/retail pharmacy in Winneconne, Wisconsin and active in the NPI registry since February 2012. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1376817163

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSHOPKO STORES OPERATING CO LLC

Location Address946 E MAIN ST.Winneconne, WI 54986-9396

Mailing Address946 E Main St.Winneconne, WI 54986-9396 · (920) 582-4414

Phone(920) 582-4414

Organization SubpartNo

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

Enumeration DateFebruary 27, 2012

Last NPPES UpdateNovember 18, 2013

✔ NPI 1376817163 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

946 E MAIN ST., Winneconne, WI 54986

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Other Names 1

Doing Business AsShopko Pharmacy 613

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 1376817163. It was assigned to this organization in the NPPES registry on February 27, 2012. The provider is doing business as Shopko Pharmacy 613.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 946 E Main St., Winneconne, WI 54986. The listed phone number is (920) 582-4414.

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 November 18, 2013. 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.