SHOPKO STORES OPERATING CO LLC
NPI 1386841385
Pharmacy - Community/Retail Pharmacy in Green Bay, WI

Active since July 02, 2007
700 PILGRIM WAY, GREEN BAY, WI 54304(920) 429-4218(920) 429-5218 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Stores Operating Co Llc NPPES

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

SHOPKO STORES OPERATING CO LLC (NPI 1386841385) is a healthcare organization registered as a community/retail pharmacy in Green Bay, Wisconsin and active in the NPI registry since July 2007. The organization lists Michael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1386841385
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address700 PILGRIM WAYGreen Bay, WI 54304-5263
Mailing Address700 Pilgrim WayGreen Bay, WI 54304-5263 · (920) 429-4218 · Fax (920) 429-5218
Fax(920) 429-5218
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateJuly 2, 2007
Last NPPES UpdateNovember 23, 2010
NPI 1386841385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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
700 PILGRIM WAY, Green Bay, WI 54304

Other Providers at the Same Location NPPES 6

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

Optometrist
700 PILGRIM WAY
GREEN BAY, WI 54304
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Eyewear Supplier
700 PILGRIM WAY
GREEN BAY, WI 54304
Pharmacy (Long Term Care Pharmacy)
700 PILGRIM WAY
GREEN BAY, WI 54304

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 1386841385. It was assigned to this organization in the NPPES registry on July 2, 2007.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 700 Pilgrim Way, Green Bay, WI 54304. The listed phone number is (920) 429-4218.

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 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.