SHOPKO PHARMACY 101
NPI 1396796975
Pharmacy - Community/Retail Pharmacy in Sioux Falls, SD

Active since May 16, 2006
4501 E ARROWHEAD PKWY, SIOUX FALLS, SD 57110(605) 335-8806(605) 335-0991 Get Directions Write a Review

NPPES record last updated: May 22, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 101 NPPES

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

SHOPKO PHARMACY 101 (NPI 1396796975) is a healthcare organization registered as a community/retail pharmacy in Sioux Falls, South Dakota 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

NPI1396796975
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address4501 E ARROWHEAD PKWYSioux Falls, SD 57110-2701
Mailing Address4501 E Arrowhead PkwySioux Falls, SD 57110-2701 · (605) 335-8806 · Fax (605) 335-0991
Fax(605) 335-0991
Organization SubpartNo
Authorized OfficialMichael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 22, 2014
NPI 1396796975 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 SD · 1001910
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
4501 E ARROWHEAD PKWY, Sioux Falls, SD 57110

Other Names 1

Doing Business AsShopko Pharmacy 101

Other Identifiers 9

Medicaid9165132SD
Medicare ID-Type Unspecified0154160028
Medicare NSC5695760042
Other4304161Ncpdp Number
Medicaid308498000MN
Medicaid432018200MN
Medicaid8503500SD
Medicaid9165130SD
Medicaid8503502SD

Other Providers at the Same Location NPPES 3

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

Eyewear Supplier
4501 E ARROWHEAD PKWY
SIOUX FALLS, SD 57110
Optometrist
4501 E ARROWHEAD PKWY
SIOUX FALLS, SD 57110
Optometrist
4501 E ARROWHEAD PKWY
SIOUX FALLS, SD 57110

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 1396796975. It was assigned to this organization in the NPPES registry on May 16, 2006. The provider is doing business as Shopko Pharmacy 101.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 4501 E Arrowhead Pkwy, Sioux Falls, SD 57110. The listed phone number is (605) 335-8806.

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 May 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.