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SHOPKO PHARMACY 171
NPI 1386699585
Pharmacy - Community/Retail Pharmacy in Plover, WI

Active since May 24, 2006
1800 PLOVER RD, PLOVER, WI 54467(715) 342-9368(715) 342-9244 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 171 NPPES

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

SHOPKO PHARMACY 171 (NPI 1386699585) is a healthcare organization registered as a community/retail pharmacy in Plover, Wisconsin 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

NPI1386699585
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address1800 PLOVER RDPlover, WI 54467-3978
Mailing Address1800 Plover RdPlover, WI 54467-3978 · (715) 342-9368 · Fax (715) 342-9244
Phone(715) 342-9368
Fax(715) 342-9244
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 25, 2014
✔ NPI 1386699585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in WI · 8610042
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
Also ListedPharmacyTaxonomy 333600000X
1800 PLOVER RD, Plover, WI 54467
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Other Names 1

Doing Business AsShopko Pharmacy 171

Other Identifiers 4

Medicare NSC5695760016
Medicare ID-Type Unspecified0154160072
Medicaid33244900WI
Other5125542Ncpdp Number

Other Providers at the Same Location NPPES 5

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

DANIEL REBHOLZ
Pharmacist
1800 PLOVER RD
PLOVER, WI 54467
Portage County (715) 342-9368
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
1800 PLOVER RD
PLOVER, WI 54467
Portage County (715) 342-9634
MRS. KIMBERLEY LOUISE LAUBE PHARMD
Pharmacist
1800 PLOVER RD
PLOVER, WI 54467
Portage County (715) 342-9368
MR. JOHN GERARD JANSEN R.PH.
Pharmacist
1800 PLOVER RD
PLOVER, WI 54467
Portage County (715) 342-9613
DR. MARC FREDERIKSEN O.D.
Optometrist
1800 PLOVER RD
PLOVER, WI 54467
Portage County (715) 342-9634

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 1386699585. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Shopko Pharmacy 171.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 1800 Plover Rd, Plover, WI 54467. The listed phone number is (715) 342-9368.

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 July 25, 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.