SHOPKO PHARMACY 706
NPI 1386825248
Durable Medical Equipment & Medical Supplies in Doniphan, MO

Active since November 20, 2007
111 LEROUX DR, DONIPHAN, MO 63935(573) 996-2311(573) 996-7415 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shopko Pharmacy 706 NPPES

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

SHOPKO PHARMACY 706 (NPI 1386825248) is a healthcare organization registered as a durable medical equipment & medical supplies in Doniphan, Missouri and active in the NPI registry since November 2007. The organization lists Michael Bettiga, Excutive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1386825248
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address111 LEROUX DRDoniphan, MO 63935
Mailing Address111 Leroux DrDoniphan, MO 63935 · (573) 996-2311 · Fax (573) 996-7415
Fax(573) 996-7415
Organization SubpartYesParent: Shopko Pharmacy 706
Authorized OfficialMichael BettigaExcutive Vice President & Coo · (920) 429-4297
Enumeration DateNovember 20, 2007
Last NPPES UpdateMay 23, 2012
NPI 1386825248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
111 LEROUX DR, Doniphan, MO 63935

Other Names 1

Doing Business AsShopko Pharmacy 706

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 1386825248. It was assigned to this organization in the NPPES registry on November 20, 2007. The provider is doing business as Shopko Pharmacy 706.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 111 Leroux Dr, Doniphan, MO 63935. The listed phone number is (573) 996-2311.

What is Shopko Stores Operating Co LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Shopko Stores Operating Co LLC was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.