SHOPKO PHARMACY 040
NPI 1407807118
Pharmacy - Community/Retail Pharmacy in Sioux City, IA

Active since May 15, 2006
3025 HAMILTON BLVD, SIOUX CITY, IA 51104(712) 255-8055(712) 255-4784 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shopko Pharmacy 040 NPPES

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

SHOPKO PHARMACY 040 (NPI 1407807118) is a healthcare organization registered as a community/retail pharmacy in Sioux City, Iowa and active in the NPI registry since May 2006. The organization lists Micael J Bettiga, Sr. Vice President Health Services, as its authorized official.

NPPES Registry Identity

NPI1407807118
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSHOPKO STORES OPERATING CO LLC
Location Address3025 HAMILTON BLVDSioux City, IA 51104-2407
Mailing Address3025 Hamilton BlvdSioux City, IA 51104-2407 · (712) 255-8055 · Fax (712) 255-4784
Fax(712) 255-4784
Organization SubpartNo
Authorized OfficialMicael J BettigaSr. Vice President Health Services · (920) 429-4297
Enumeration DateMay 15, 2006
Last NPPES UpdateJune 6, 2014
NPI 1407807118 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 IA · 514
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
3025 HAMILTON BLVD, Sioux City, IA 51104

Other Names 1

Doing Business AsShopko Pharmacy 040

Other Identifiers 11

Medicaid9164712SD
Medicaid0208470IA
Medicare NSC5695760114
Medicaid41098505408NE
Medicaid8531560SD
Medicare ID-Type Unspecified5695760114
Medicare ID-Type Unspecified0154160094
Other1613531Ncpdp Number
Medicaid10025413500NE
Medicaid8531562SD
Medicaid0495028IA

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
3025 HAMILTON BLVD
SIOUX CITY, IA 51104
Optometrist
3025 HAMILTON BLVD
SIOUX CITY, IA 51104
Optometrist
3025 HAMILTON BLVD
SIOUX CITY, IA 51104

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 1407807118. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Shopko Pharmacy 040.

Where is Shopko Stores Operating Co LLC located?

Shopko Stores Operating Co LLC is located at 3025 Hamilton Blvd, Sioux City, IA 51104. The listed phone number is (712) 255-8055.

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 June 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.