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SHOPKO PHARMACY 706
NPI 1407044621
Pharmacy - Community/Retail Pharmacy in Doniphan, MO

Active since October 12, 2007
115 LEROUX ST, DONIPHAN, MO 63935(573) 996-2311(573) 996-7415 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shopko Pharmacy 706 NPPES

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

SHOPKO PHARMACY 706 (NPI 1407044621) is a healthcare organization registered as a community/retail pharmacy in Doniphan, Missouri and active in the NPI registry since October 2007. The organization lists Michael Bettiga, Executive Vice President & Coo, as its authorized official.

NPPES Registry Identity

NPI1407044621
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address115 LEROUX STDoniphan, MO 63935-1038
Mailing Address115 Leroux StDoniphan, MO 63935-1038 · (573) 996-2311 · Fax (573) 996-7415
Phone(573) 996-2311
Fax(573) 996-7415
Organization SubpartNo
Authorized OfficialMichael BettigaExecutive Vice President & Coo · (920) 429-4297
Enumeration DateOctober 12, 2007
Last NPPES UpdateJuly 31, 2012
✔ NPI 1407044621 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
115 LEROUX ST, Doniphan, MO 63935
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Other Names 1

Doing Business AsShopko Pharmacy 706

Other Identifiers 1

Medicare NSC5695760166

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 1407044621. It was assigned to this organization in the NPPES registry on October 12, 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 115 Leroux St, 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 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 31, 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.